Yes, you're correct, the terms means the same thing, but they are not interchangeable. In this case the doctor did not document 'due to'.As per ICD -10 Guidelines, the term With ,or due to ,associated with are interpreted to mean same. index book sates hypertension due to endocrine disorders (I15.2).
Kindly clarify this, have lot of confusion
Please explain the ICD -10 Guideline?
The word “with” should be interpreted to mean “associated with” or “due to” when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The classification presumes a causal relationship between the two conditions linked by these terms in the Alphabetic Index or Tabular List. These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the documentation clearly states the conditions are unrelated. For conditions not specifically linked by these relational terms in the classification, provider documentation must link the conditions in order to code them as related.
Yes, your guidelines allow you to assume a causal relationship between hypertension and CKD, and also between DM and CKD. So yes, use the appropriate combination codes, being E11.22, I12.9 and N18.3.Hello,
I have a similar situation to this forum. Medical documentation states Chronic Kidney Disease stage III, Diabetes Mellitus type 2 without complications, and long standing hypertension. Do I assume a relationship with Diabetes/CKD and Hypertension/CKD when coding? So my codes would be E11.22, I12.9, and N18.3? or would I code each dx separately so E11.9, I10, N18.3? The documentation does state "Probably secondary to diabetic and or/ hypertensive nephropathy" Also, does this constitute coding for E11.69?
Yes, your guidelines allow you to assume a causal relationship between hypertension and CKD, and also between DM and CKD. So yes, use the appropriate combination codes, being E11.22, I12.9 and N18.3.
I do not see why you would apply E11.69, is there a specific reason you were wondering about that code?