-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki DMII with kidney
- Thread starter arizona1
- Start date
magnolia1
Guest
In order to accurately respond to this, one would need to know if patient also
has hypertension (and whether or not the CKD is due to hypertension).
Also, is the diabetes under control, poorly controlled, out of control?
has hypertension (and whether or not the CKD is due to hypertension).
Also, is the diabetes under control, poorly controlled, out of control?
mitchellde
True Blue
I agree, the diabetes as stated would just be 250.00, and the CKD as 585.1, we cannot code the nephropathy as a manifestation/complication of the diabetes unless stated by the physician. However if the patient has HTN, ICD-9 convetions tells us that is automatically combined with the CKD and coded as 403.9x with the 585.x as a secondary code.
jerseygirl66
Networker
If it stated diabetic nephropathy you could code it as a manifestation but they way it is worded, it is unclear. It could mean diabetes and a comorbid condition of nephropathy. Better clarification is needed.
If it WERE stated as diabetic nephropathy, you would use 250.4x for the diabetes w/manifestation ( but as it stands now, only 250.00) and 585.1 for staged I CKD.
If it WERE stated as diabetic nephropathy, you would use 250.4x for the diabetes w/manifestation ( but as it stands now, only 250.00) and 585.1 for staged I CKD.