Wiki Avoiding redundancies

chaimz

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A pt has HTN, DMII, and CKD2.

I know you can link CKD with HTN and with DM. However, for submission to the insurance companies, would it be redundant if I were to submit 250.40, 585.2 and 403.90, 585.2?

Thank you,

Chaim, CPC-A
 
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The provider documentation must link the DM to the CKD, the coder cannot assume they are linked. So if the provider does not state stage 2 renal failure due to diabetes (or diabetic stage 2 renal failure) with HTN then you cannot code it that way. The HTN with CKD is always linked together by the coder. You would not code the 585.2 twice.
 
He does say DMII with CKD2, but the pt also has HTN which the guidelines state you as a coder can link. I just wanted to make sure 585.2 should be captured twice or not.

Thank you for your help :)
 
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