Author Topic: HTN/CKD/DM combo codes  (Read 2227 times)

Nadine

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HTN/CKD/DM combo codes
« on: November 22, 2011, 02:41:26 PM »
When a patient presents for HTN/CKD, coding guidelines state to code to 403.9X and 585.X, with “X’ coding to the severity of CKD. Then let’s say the patient has DM II. When can you and can’t you code to the DM renal manifestation code, 250.4X? I’m told the connection has to be made first in order to code this. Another thought, CKD is usually associated or a cause of DM. The coders desk reference states, once the conection is made, this follows the patient on subsequent visits regardless of the documentation.

Any experience with this code would be helpful. I think I'm just getting myself confused. As a biller, I have sent these back to coding for correction but I get these returned to me stating the documentation is not linking the conditions. So I say, query the provider, is this warrented?
« Last Edit: November 22, 2011, 02:44:57 PM by Nadine »

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HTN/CKD/DM combo codes
« on: November 22, 2011, 02:41:26 PM »