help w coding and sequencing

jcrimmins@stoughton-ma.govjcrimmins@stoughton-ma.gov
in Home Care Coding General
pt has afib(unspecified).....new bradycardia...
Diabetes...ckd stage 3...HTN...ac on chr chf...the new guideline we can combine DM & CKD? CKD & HTN? please help

Comments

  • ericcabali18ericcabali18
    edited April 2017
    for me combine HTN,CHF AND CKD
  • barbara.sheeler@gmail.combarbara.sheeler@gmail.com
    edited April 2017
    with the supplied info, I would code it this way
    I48.91
    R00.1
    E11.22
    I13.0
    I50.9
    N18.3
  • cbrunk@totalhh.comcbrunk@totalhh.com
    edited April 2017
    I would add the presence of pacemaker as well

    Priscilla Brunk RN, HCS-D
    Corporate Coder
    Cell: 772-284-1185
    Fax: 954-962-2667
  • kyleintegrityhh@gmail.comkyleintegrityhh@gmail.com
    You can't assume the CHF with the HTN so it wouldn't be I13.XX

    Only the HTN with the CKD and the CKD with the DM.

    It would be I12.9
  • Unknown
    edited April 2017
    Kyle- you can assume now with the "with" convention.


    Brandy Slate, RN, HCS-D, COS-C

    Chief Operating Officer

    Codes Correct

    off: (903) 549-2115

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    brandy.slate@codescorrect.com
  • marywilkemarywilke
    edited April 2017
    Just to clarify. Does the physician have to state HTN with CHF and CKD or can the summary just state Pt with a history of CHF, COPD, HTN, osteoporosis, and CKD and we can assume the relationship?
  • marywilkemarywilke
    edited April 2017
    So in the2016 Diagnosis Coding Manual on page 247 under Hypertension with heart involvement it states (conditions in I51.4-I51.9 due to Hypertension) see Hypertension heart. Is that a typo or am I not looking in the right spot to get to the CHF's being included?
  • marywilkemarywilke
    edited April 2017
    I "see" Thanks for the clarification. :)
  • ericcabali18ericcabali18
    edited April 2017
    Is anyone will attend Lisa Selman-Holman Lecture in Vegas this coming 22 and 23?
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