Home Health ICD-9/ICD-10 Alert
Consider this Hospice Coding Scenario
Question: Our patient was admitted to hospice with a terminal diagnosis of end stage renal disease (ESRD) due to type II diabetes. Our focus of care is the ESRD. How should we code for this patient?
Answer: List the following codes for this patient, said Judy Adams, RN, BSN, HCS-D, HCS-O, with Adams Home Care Consulting in Asheville, N.C.
When coding for ESRD due to diabetes you must follow a sequencing rule similar to the etiology/manifestation coding guideline, says Lisa Selman-Holman, JD, BSN, RN, COS-C, HCS-D, HCS-O, AHIMA Approved ICD-10-CM Trainer/Ambassador of Selman-Holman & Associates, LLC, CoDR—Coding Done Right and Code Pro University in Denton, Texas. You can list ESRD as primary when the underlying etiology is unknown, however if the etiology is known, you must sequence the etiology prior to the ESRD.
If the documentation specifies diabetic ESRD and the ESRD is the terminal condition, you must list the diabetes prior to the ESRD according to coding conventions.
ICD-10: If you were coding for this hospice patient in ICD-10, you would report:
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