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AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 3; Ask the Editor

Hypertension with Diabetic Nephropathy and Chronic Kidney Disease

The patient presented for renal transplantation due to end stage renal disease (ESRD), and the provider’s final diagnostic statement listed, “ESRD due to diabetic nephropathy on dialysis, diabetic retinopathy, diabetic peripheral neuropathy, and hypertension.” The Official Guidelines for Coding and Reporting (I.C.9.a.2.) state, “CKD should not be coded as hypertensive if the provider indicates the CKD is not related to the hypertension.” In this case, since the provider documented ESRD due to diabetic nephropathy, would this statement be sufficient to indicate that the CKD is not related to hypertension?  ...

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