AHA Coding Clinic® for ICD-9 - 2011 Issue 3; Clarifications

Acute Kidney Injury, Diabetic Nephropathy and Chronic Kidney Disease, Stage III

A provider admits a patient with acute kidney injury. On the discharge summary, in his final diagnostic statement, the provider documents acute kidney injury, diabetic nephropathy and chronic kidney disease, stage III. Following the Index to Diseases, a diagnosis of acute kidney injury is assigned to code 584.9, Acute kidney failure. Consultants are advising when there is a specified renal pathological lesion, such as acute kidney injury and nephropathy, the combination code 584.8, Acute kidney failure with other specified pathological lesion in kidney, should be assigned. Is this correct? ...

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