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ICD-9 code for kidney scarring help!!!

  1. Unhappy ICD-9 code for kidney scarring help!!!
    Medical Coding Books
    Good morning AAPC members,

    I am seeking help in finding an accurate code for a patient that has scarring of the kidney shown on an U/S. I looked into the post op report and all the surgeon has listed is "scarring of the kidney" associated with abdominal pain. The patient has a history of kidney stones, I am not sure if this would be the cause of their abdominal pain.

    But the physician is insistant that we use 709.2, I disagree because this code is under Other Disorders of skin and subcutaneous tissue.

    Any suggestions on a different code to choose from? I went back and forth in the ICD-9 book and could not come up with anything close for "scarring of the kidney".

    Thank you,

    P.S. The physician does not know what has caused the scarring..

  2. #2
    phoenix az
    593.9, or 793.6

  3. Default
    This appropriates more closer 587: Renal Sclerosis- Fibrosis, cirrhosis contracted ,atrophic Kidney. Renal fibrosis describes the scenario more .
    hope this helps

  4. #4
    Stuart, Florida
    Quote Originally Posted by preserene View Post
    This appropriates more closer 587: Renal Sclerosis- Fibrosis, cirrhosis contracted ,atrophic Kidney. Renal fibrosis describes the scenario more .
    hope this helps
    I agree with preserene's answer. Code 587, Renal sclerosis, unspecified, is the best possible fit for DX of scarring, or ‚Äúsclerosis,‚ÄĚ of the kidney.


    when soft organ or tissue becomes hard. a process in which a soft organ or soft tissue in your body becomes hard.
    Vanessa Mier, CPC

  5. Default

    I also agree with can use 587 for scarring of the kidney.(Sclerosis of kidney).

    Nalini CPC

  6. Smile Thank you!
    I so much appreciate everyone's input, I will forward this information to my billing department!

    Thank you, thank you, thank you!!!

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