ICD Avoiding Redundancies

[Chaim]

A pt has HTN, DMII, and CKD2.

I know you can link CKD with HTN and with DM. However, for submission to the insurance companies, would it be redundant if I were to submit 250.40, 585.2 and 403.90, 585.2?

Thank you,

Chaim, CPA-A

 

[Alicia Scott]

Hey Chaim great to hear from you. You have the reporting correct but keep in mind you lead off with what the patient was being seen for. The coding is not redundant as that is the way the guidelines tell you to report them.
250.40, 585.2, 403.90
The picture you are painting is: My pt has diabetes with renal manifestations. What are the renal manifestations? CKD-2 is the manifestation. As a result my pt has HTN.
Don't code 585.2 twice by the way. Not sure if that is what you were implying.

 

[Chaim]

Yeah the latter was what I was implying. So here in the guidelines it also states not to be redundant lol.

Thanks for the help Alicia

 

[Chaim]

I think I misread the guideline. It's referring to things like similar conditions like in bilateral Fx. Is there a guideline that I can read up on for my above question? If so, which section of the guidelines? I'm looking deeper now, but I can't seem to find it.

Thanks,

Chaim

 

[Alicia Scott]

Just remember that some times there are built in redundancies for statistical reporting purpose. Your first roll in coding is for statistics and getting paid that way is another benefit.