Wiki Diabetes w/ CKD

erjones147

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Patient has diabetes type II uncontrolled and hypertensive CKD

Would I shift the Dx code for the diabetes to 250.42?

My ICD-9 reads as follows under 250.42:

Use additional code to identify manifestation, as:
chronic kidney disease (585.1-585.9) diabetic:
nephropathy NOS
nephrosis

It seems as if there's some missing punctuation (I'm thinking the word "diabetic" I supposed to have been dropped down to its own indentation), but my reading of this is that CKD is definitely a renal manifestation of diabetes, but general nephropathy/nephrosis has to be stated as diabetic

Summary: do all of my patients with diabetes and CKD need to have their diabetes code changed?
 
Diabetes w/CKD

The record must state diabetes with CKD. Because you have Diabetes and Hypertension w/CKD you would not link the diabetes with CKD. :)
 
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