AHA Coding Clinic® for ICD-9 - 2011 Issue 3; Clarifications

Lupus Nephritis Causing Acute Renal Failure

We have a question regarding advice published in the Coding Clinic, Second Quarter 2003, page 7. The question is regarding acute renal failure secondary to the lupus nephritis which was assigned code 584.9 for the acute renal failure. Consultants have advised that 584.8 should be used instead of 584.9. Coders are not sure about the correct code assignment. Wouldn’t code 584.8, Acute renal failure with other specified pathological lesion, be more appropriate given that the physician explicitly linked the acute renal failure to lupus nephritis? ...

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