Shrunken Kidney?

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El Paso
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:confused: I have a dx of a small shrunken hyperechoic kidney? I am totally puzzled as to how to code it. The pt. does have ESRD and hydronephrosis as well. Those two codes are no brainers, but the other is just mind blowing. Any suggestions would be helpful. Thank you in advancew.:rolleyes:
 
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