Coding, Classification & Reimbursement

icd coding of the htn when CKD is also stated/present as active dx

  • 1.  icd coding of the htn when CKD is also stated/present as active dx

    Posted 05-03-2019 09:35
    Hello!
    I was wondering - does anyone else still continue to see that these two conditions - hypertension and chronic kidney disease- continue to be coded separately rather than as the combo code of hypertensive chronic kidney disease / CKD stage...?

    I continue to see that even the discharging hospitals code with 2 codes - HTN and then the CKD.
    thanks

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    Dawn Neth
    Health Information Manager
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  • 2.  RE: icd coding of the htn when CKD is also stated/present as active dx

    Posted 05-05-2019 17:44
    No, not at my facility.  We will use the combo code for hypertensive kidney disease I12.x and N18.x for CKD with stage. I would get dinged by my auditor if I did otherwise.

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    Alan Fishman
    Remote Inpatient Coder
    MedPartners
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  • 3.  RE: icd coding of the htn when CKD is also stated/present as active dx

    Posted 05-06-2019 06:07
    Look up Section 1.C.9 Hypertension in the Official Coding Guidelines ICD-10-CM and look at the coding conventions for the term “With” -Section 1.A.16. Go to the code book index and if the term “with” is listed below the main term than you can use a combination code.

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    Kelly Sauer
    Coding Consultant- Auditor
    CIOX Health
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  • 4.  RE: icd coding of the htn when CKD is also stated/present as active dx

    Posted 05-07-2019 11:43
    There will always be two codes when coding Hypertension with CKD, one for the hypertensive kidney disease (I12.x or I13.X) as well as one for the CKD stage.

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    Carol Nickels, RHIA, CCS
    Coding and Documentation Review Consultant
    Kaiser Permanente - Regional Offices (Oakland, CA)
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  • 5.  RE: icd coding of the htn when CKD is also stated/present as active dx

    Posted 05-15-2019 13:32
    Thanks, everyone- I guess my concern is that I am still seeing acute care settings code as this---
    I10 - hypertension
    N18.3-CKD, III

    RATHER THAN the combo code.  We can "assume the casual relationship between these two conditions"-
    I12.9- Hypertensive CKD 1-4...
    N18.3-CKD stage 3

    Is everyone still seeing this, too?

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    Dawn Neth
    Health Information Manager
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  • 6.  RE: icd coding of the htn when CKD is also stated/present as active dx

    Posted 05-16-2019 00:46
    I see it sometimes as well on outside hospital invoices for VA patients, when the VA pays for their care.

    It completely blows my mind.