focus of care is heart failure but has HTN and CKD3
I have a patient who is admitted for Acute on chronic diastolic HF as focus of care, but also has HTN and CKD 3. Is the following sequence correct? I know the focus of care is HF but the guidelines state to code the HTN first. Thank you!
I13.0
I50.33
N18.3
I13.0
I50.33
N18.3
Comments
Priscilla Brunk RN, HCS-D
Corporate Coder
Cell: 772-284-1185
Fax: 954-962-2667
• The classification presumes a causal relationship between hypertension and
heart involvement and between hypertension and kidney involvement, as the
two conditions are linked by the term “with” in the Alphabetic Index.
• 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.
• For hypertension and conditions not specifically linked by relational terms
such as “with,” “associated with” or “due to” in the classification, provider
documentation must link the conditions in order to code them as related.
***This is taken from PPS Plus’s webinar handouts. The webinar is tomorrow.
Lisa Engel RN, BSN
Thanks,
Jamie Seghers, HCS-D, BCHH-C, COS-C, ICD-10-CM Certified Trainer
Medical Coding Manager
Office Phone: 844-839-0061
Cisco ext. 5040
Fax: 877-751-5987