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DMII with kidney

  1. Default DMII with kidney
    Medical Coding Books
    How would you code DMII with nephropathy, CKD I

  2. #2
    Location
    Albany, New York
    Posts
    456
    Talking
    In order to accurately respond to this, one would need to know if patient also
    has hypertension (and whether or not the CKD is due to hypertension).
    Also, is the diabetes under control, poorly controlled, out of control?
    Karen Maloney, CPC
    Data Quality Specialist

  3. #3
    Location
    Columbia, MO
    Posts
    12,531
    Default
    I agree, the diabetes as stated would just be 250.00, and the CKD as 585.1, we cannot code the nephropathy as a manifestation/complication of the diabetes unless stated by the physician. However if the patient has HTN, ICD-9 convetions tells us that is automatically combined with the CKD and coded as 403.9x with the 585.x as a secondary code.

    Debra A. Mitchell, MSPH, CPC-H

  4. Default
    If it stated diabetic nephropathy you could code it as a manifestation but they way it is worded, it is unclear. It could mean diabetes and a comorbid condition of nephropathy. Better clarification is needed.

    If it WERE stated as diabetic nephropathy, you would use 250.4x for the diabetes w/manifestation ( but as it stands now, only 250.00) and 585.1 for staged I CKD.

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