AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 3; Ask the Editor

Contrast-Induced Nephropathy

A patient with a history of congestive heart failure and Stage IV chronic kidney disease presented due to dyspnea, edema and orthopnea. During the patient’s admission, contrast was used for radiologic imaging and the patient was diagnosed with contrast-induced nephropathy (CIN) within 48 hours of exposure to the contrast. Would the contrast be reported as a drug or toxic substance? What are the appropriate code assignments for contrast-induced nephropathy? ...

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