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HTN ESRD diagnosis

  1. #1
    Default HTN ESRD diagnosis
    Medical Coding Books
    Hi Everyone

    I always confused with DM and HTN with ESRD patients. Doctor writes HTN, Insomnia, Multiple myeloma and ESRD. Can I link HTN and ESRD and code 403.91

    thank you

  2. #2
    Location
    Birmingham, Alabama
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    Default
    Quote Originally Posted by kumeena View Post
    Hi Everyone

    I always confused with DM and HTN with ESRD patients. Doctor writes HTN, Insomnia, Multiple myeloma and ESRD. Can I link HTN and ESRD and code 403.91

    thank you

    The guidelines say to code both ie 403.91/585.6

    HTH
    Danny L. Peoples
    CIRCC,CPC

  3. Default
    As per ICD-9 coding guidelines 3) Hypertensive chronic kidney disease

    "Assign codes from cat. 403 when conditions classified to cat. 585-587 are present.."

    "...ICD-9 presumes cause-and-effect relationship and classifies chronic kidney disease (CKD) with hypertention as hypertensive chronic kidney disease."

    HTN & ESRD are a presumed cause-and-effect relationship

    Hope this helps,
    Anthony McCallum, CPC, CIRCC, CPC-I, CCS
    ciphermed@optonline.net

  4. #4
    Default
    Thank you Danny and Anthony.Information was very helpful . Yes I coded 403 and 585 codes (both)

    Have a nice and long weekend

    Happy columbus Day

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