htn, heart, kidney, dm2

BrendaBrenda
edited April 2017 in Home Care Coding General
Forgive me if this has been discussed before, but I need advice. Patient has htn, chronic diastolic heart failure, stage 3 ckd, and dm2.
Are these correct? I13.0
I50.32
N18.3
E11.9 (there is no medical documentation of dm2 with ckd stage 3)

I believe that we are to assume a relationship between htn, heart failure, and ckd, if physician doesn't state another reason.
If the physician doesn't list or state diabetic kidney or diabetes with kidney failure, do I need to assume dm and kidney failure are always related? I don't think that, but need to know for certain.

Brenda Hoss
Coder

Comments

  • Kimberly.McEwan@kindred.comKimberly.McEwan@kindred.com
    edited April 2017
    Unless the MD says they are not related. That "with word" is a powerful tool for coders.



    Kimberly McEwan, RN,HCS-D 10, COS-C
    Utilization Review Specialist /Mid-Atlantic Region
    Kindred at Home/ An Affiliate of Gentiva Home Health
    Kimberly.McEwan@kindred.com

    Cell: 336.613.7058 Home: 336.612.2242
  • BrendaBrenda
    edited April 2017
    I think I was confused thinking that the physician's wording had to say "with". Thanks for clarifying that "with" is assumed in a patient that has those diagnoses.


    Brenda Hoss
    Coder
  • BrendaBrenda
    edited April 2017
    After I was given advice, I changed it to I13.0
    I50.32
    E11.22
    N18.2
    Is this sequence correct?


    Brenda Hoss
    Coder
  • AmishanxAmishanx
    yes that's correct..
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