AHA Coding Clinic® for ICD-9 - 2013 Issue 2; Ask the Editor

Chronic Kidney Disease Stage 5 with Plans for Starting Dialysis

The patient is a 70-year-old woman with chronic kidney disease (CKD) stage 5 due to diabetic nephropathy type I, who was admitted to the hospital with complaints of chronic fatigue and weakness. The provider documented that the chronic fatigue was due to her chronic kidney disease. The patient was seen by the nephrologist, who discussed treatment options, including the benefits and risks of hemodialysis. She was discharged with plans for the surgical creation of an arteriovenous (AV) fistula for dialysis access. Since the patient has future plans for placement of an arteriovenous (AV) fistula, should code 585.6, End stage renal disease, be assigned? What are the appropriate ICD-9-CM diagnosis codes? ...

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