Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

Diabetes and Chronic Kidney Disease

Patricia Posted Tue 13th of July, 2010 23:04:55 PM

For the hospitalist Setting, in the H & P if the physician states the patient has a history of diabetes, hypertension, and chronic kidney disease, is it appropriate to code the diabetes with 250.40; hypertension 403.90 and CKD 585.9. My major concern is using 250.40 for the diabetes. Is it safe to assume the CKD is a manifestation with the diabetes?

SuperCoder Answered Wed 14th of July, 2010 12:49:20 PM

Two scenarios are there:

1) Whether we can link Htn and CKD even if the word "hypertensive" is not present: Yes, you can assume a cause-n-effect" relationship b/w Htn & CKD. sO CODES COULD BE 403.90, 585.9

2) Whether DM can be taken as "linked with Htn & CKD": Actually, it depends on the documentation. If it's only history of diabetes, or current DM stated but not linked with the CKD somehow (like "diabetic CKD / CKD due to DM etc.), then you cannot code 250.40. That case, you should code as 250.00. To code 250.40, you should have some linked documentation.

Related Topics