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 17 days ago
    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 15 days ago
    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 14 days ago
    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 13 days ago
    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 5 days ago
    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 4 days ago
    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.