AHA Coding Clinic® for ICD-9 - 2011 Issue 2; Ask the Editor

Acute Renal Failure and End Stage Renal Disease (ESRD)

Coding Clinic, Third Quarter 2010, page 15, advised that it is appropriate to code both acute renal failure and chronic kidney failure when both are clearly documented by the provider. We are asking the Coding Clinic Editorial Advisory Board to revisit this advice and address acute renal failure in the presence of end stage renal disease (ESRD). It is our belief that a patient cannot have end stage renal disease and acute kidney failure, since the patient has no kidney function. Is it possible for a patient to have both acute renal failure and end stage renal disease during the same encounter? ...

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