The example you provided does go to DRG 291, Heart Failure and Shock, with MCC. Both HTN and diabetes may be the cause of ESRD and may require a query to clarify the cause.
Q&A: Sequencing ESRD, HTN, CHF, and diabetes. Code I13.2, Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease or ESRD, is a combination code that represents all three conditions found under DRGs 291-293, Heart Failure and Shock as a principal diagnosis.
postprocedural diabetes mellitus ( E13.-) secondary diabetes mellitus NEC ( E13.-) type 1 diabetes mellitus ( E10.-) Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
Q&A: Sequencing ESRD, HTN, CHF, and diabetes. Code E11.22, Type 2 Diabetes mellitus with diabetic chronic kidney disease, also has a “use additional code” to identify the stage of the chronic kidney disease (N18.1-N18.6). If both the diabetes and HTN are identified as contributing to the ESRD, there is nothing wrong with coding both combinations.
E11. 22, Type 2 diabetes mellitus with diabetic CKD. I12. 9, hypertensive CKD with stage 1 through 4 CKD, or unspecified CKD.
The incorrect portion of the response came as an aside at the end, where it was stated that “it would be redundant to assign codes for both diabetic nephropathy (E11. 21) and diabetic chronic kidney disease (E11. 22), as diabetic chronic kidney disease is a more specific condition.” It is true you wouldn't code both.
Do not assign a code for hypertensive CKD, as the hypertension would be coded separately. In addition, it would be redundant to assign codes for both diabetic nephropathy (E11. 21) and diabetic chronic kidney disease (E11. 22) as diabetic chronic kidney disease is a more specific condition."
Diabetic kidney disease is a type of kidney disease caused by diabetes. Diabetes is the leading cause of kidney disease. About 1 out of 3 adults with diabetes has kidney disease. The main job of the kidneys is to filter wastes and extra water out of your blood to make urine.
End Stage Renal Disease ESRD is reported as 585.6 in ICD-9-CM and N18. 6 in ICD-10-CM. Additional guidance is provided in ICD-10-CM under N18. 6 to use additional codes to identify dialysis status (Z99.
So yes, use the appropriate combination codes, being E11. 22, I12. 9 and N18. 3.
ICD-10-CM Code for Type 2 diabetes mellitus with diabetic nephropathy E11. 21.
2: Dependence on renal dialysis.
Dependence on respirator [ventilator] status Z99. 11 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Diabetic nephropathy is a long-term kidney disease that can affect people with diabetes. It occurs when high blood glucose levels damage how a person's kidneys function. Diabetic nephropathy is a kind of chronic kidney disease (CKD).
End-Stage Renal Disease (ESRD) is a medical condition in which a person's kidneys cease functioning on a permanent basis leading to the need for a regular course of long-term dialysis or a kidney transplant to maintain life.
Can people reverse or prevent kidney damage? It is not possible to reverse kidney damage. However, people can take measures to prevent or delay the onset of kidney disease. Evidence notes that the best strategy for individuals living with diabetes is to manage blood glucose and keep levels within target range.
The ICD code E11 is used to code Hyperosmolar hyperglycemic state. Hyperosmolar hyperglycemic state (HHS) is a complication of diabetes mellitus (predominantly type 2) in which high blood sugars cause severe dehydration, increases in osmolarity (relative concentration of solute) and a high risk of complications, coma and death.
Use Additional Code note means a second code must be used in conjunction with this code. Codes with this note are Etiology codes and must be followed by a Manifestation code or codes.
The ICD code E11 is used to code Hyperosmolar hyperglycemic state. Hyperosmolar hyperglycemic state (HHS) is a complication of diabetes mellitus (predominantly type 2) in which high blood sugars cause severe dehydration, increases in osmolarity (relative concentration of solute) and a high risk of complications, coma and death.
Use a child code to capture more detail. ICD Code E11.0 is a non-billable code.