Trying to make sure i understand the guidelines, having trouble how to capture dx.
HTN " with" DM
HTN "associated with" DM
The guidelines in the ICD-10 book on page 19.
15. “With” The word “with” or “in” should be interpreted to mean “associated with” or “due to” when it appears in a code title, the Alphabetic Index (either under a main term or subterm), or an instructional note in the Tabular List. The classification presumes a causal relationship between the two conditions linked by these terms in the Alphabetic Index or Tabular List. These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the documentation clearly states the conditions are unrelated or when another guideline exists that specifically requires a documented linkage between two conditions (e.g., sepsis guideline for “acute organ dysfunction that is not clearly associated with the sepsis”).
If a provider happens to use the word “with” I can assume and interpret to mean the same as “ associated with “ or “ due to “ based on the code title in the alphabetic index.
Example: HTN with DM
if I go to index under HTN, then looking for “ with “, I don’t see anything for DM/endocrine. BUT per guideline in pg 19, I can go to HTN > due to> endocrine disorder (DM) – I15.2, E11.9 (code underlying condition) because I can interpret “ with “ to mean the same as “due to” , which would be I15.2, E11.59
is this correct?
In the index, I don't see anything for HTN "associated with", just because the word "with" is in there is it to interpret as well as "due to" ?????
HTN " with" DM
HTN "associated with" DM
The guidelines in the ICD-10 book on page 19.
15. “With” The word “with” or “in” should be interpreted to mean “associated with” or “due to” when it appears in a code title, the Alphabetic Index (either under a main term or subterm), or an instructional note in the Tabular List. The classification presumes a causal relationship between the two conditions linked by these terms in the Alphabetic Index or Tabular List. These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the documentation clearly states the conditions are unrelated or when another guideline exists that specifically requires a documented linkage between two conditions (e.g., sepsis guideline for “acute organ dysfunction that is not clearly associated with the sepsis”).
If a provider happens to use the word “with” I can assume and interpret to mean the same as “ associated with “ or “ due to “ based on the code title in the alphabetic index.
Example: HTN with DM
if I go to index under HTN, then looking for “ with “, I don’t see anything for DM/endocrine. BUT per guideline in pg 19, I can go to HTN > due to> endocrine disorder (DM) – I15.2, E11.9 (code underlying condition) because I can interpret “ with “ to mean the same as “due to” , which would be I15.2, E11.59
is this correct?
In the index, I don't see anything for HTN "associated with", just because the word "with" is in there is it to interpret as well as "due to" ?????