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CHF, HTN and CKD

  1. Default CHF, HTN and CKD
    Medical Coding Books
    Hello all,

    Please advise on the appropriate diagnosis codes for the following scenario:

    A patient is assessed in the office setting for the following diagnoses: CHF, HTN and CKD. There is no additional documentation linking any of the conditions together.

    Thank you!

  2. #2
    Default
    Quote Originally Posted by coding1228 View Post
    Hello all,

    Please advise on the appropriate diagnosis codes for the following scenario:

    A patient is assessed in the office setting for the following diagnoses: CHF, HTN and CKD. There is no additional documentation linking any of the conditions together.

    Thank you!
    How about 428.0 and 403.90 (as per guidelines htn and ckd is presumed cause and effect)

  3. Default
    Is your understanding (from the guidelines) that the 404.xx code cannot be used in this scenario unless the htn is somehow linked to the CHF ie: Hypertensive CHF or Hypertension w/ CHF etc.?

    Thanks for your response!

  4. Default
    You have to code CKD 585.9 along with 403.90 and 428.0

  5. #5
    Default
    Quote Originally Posted by coding1228 View Post
    Is your understanding (from the guidelines) that the 404.xx code cannot be used in this scenario unless the htn is somehow linked to the CHF ie: Hypertensive CHF or Hypertension w/ CHF etc.?

    Thanks for your response!
    Yes. The guidelines made no mention of it as it did with CKD/HTN and as francotti stated you must use 585.9, missed that part.

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