You are right NOT to use 866.00. That is a trama injury to the kidney. I think your physician might mean ARF (Acute Renal Failure, 584.9). If a patient's creatinine is elevated because of other health complications, it might be ARF. But on the other hand, if a patient has had HTN for several years, or any other underlying disease that leads into CKD (chronic kidney disease) you would use the 585 codes.(585.1-585.5).
Hope this helps!!
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