Looking for guidance for correct sequencing.

Patient has HTN,CHF, DM2 and CDK Stage 3.

We can connect HTN with heart disease (effective Oct 1) and also the DM2 with kidney complication...would this be the sequence if the HF was the focus.

1. E13.0 (HTN Heart &CKD)
2. I50.9 (CHF)
3. E11.22 (DM2 W CKD)
4. N18.3 ( Stage 3)


  • edited April 2017

    Priscilla Brunk RN, HCS-D
    Corporate Coder
    Cell: 772-284-1185
    Fax: 954-962-2667
  • edited April 2017
    Yes, because that is the sequencing guidance. I gave you the wrong code for HTN it would be the I30.xx code that is HTN with CHF and CKD I don't have my book but I believe it is I13.2

    Priscilla Brunk RN, HCS-D
    Corporate Coder
    Cell: 772-284-1185
    Fax: 954-962-2667
  • I also see the note under e11.22.

    so it would be 1. E11.22, 2. I13.0 3. I50.9 then 4. n18.3 if DM is the focus

    OR if HF is the focus

    1. I13.0 2. I50.9 3. E11.22 4. N18.3
  • Lisa you are correct – that is my question

    Arlene Poolman, RN

    Director of Clinical Services

    At Home Rehab


    *The Professional Care YOU Deserve*
  • Just remember to go in alphabetic order, Alzheimers , followed by Dementia.
  • If it states "as due to UTI" then code N39.0/A41.51/R65.20/N17.9
    If admitting patient to Hospice with a terminal dx of E.coli Sepsis and acute renal failure isn't resolved, then code A41.51/R65.20/N17.9/N39.0
    Either way, Sepsis/Severe Sepsis and the organ dysfunction can't be separated.

    Lisa Sharpe, HCS-D
    Coding Specialist
    Sanford Bemidji HomeCare and Hospice
    3201 Pine Ridge Ave NW RT# 10800
    Bemidji MN 56601
    Phone 218-333-5764  Fax 218-333-6017

    -----Original Message-----
    From: Andrea Rodriguez []
    Sent: Thursday, May 18, 2017 10:23 AM
    To: HomeCareCoding-L
    Subject: [EXTERNAL] [homecarecoding-l] sequencing

    hospice patient with ecoli sepsis due to uti w/ acute renal failure...what is the best sequencing ?


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