Coding End-Stage Renal Disease

Note:As of October 1, 2005, the title for 585 was changed to Chronic Kidney Disease, and the code was expanded to the fourth-digit level. The following coding guidelines are given in answer to questions and comments about designation and sequencing of chronic renal failure (585). These coding guidelines are based on the advice of the World Health Organization's Center for ICD for North America (located in the National Center for Health Statistics, U.S. Public Health Service) and background information, with comments received from other ICD-9-CM advisers. Background Information for Coders End-stage renal disease is a complex syndrome characterized...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains ICD-9-CM coding guidance for chronic renal failure and end-stage renal disease, including how related dialysis admissions and common underlying conditions are handled in the coding framework. It is intended for coders and billing staff who need to understand the article’s scope, the organizations and coding references it draws on, and the general categories of diagnosis and procedure guidance discussed in the text.

Why This Topic Matters

Accurate indexing of this topic helps users find guidance on renal failure coding, dialysis-related admissions, and related comorbid conditions without exposing the premium article’s detailed instructions.

Article Sections

  1. Background Information for Coders

    Provides general context on end-stage renal disease and its relationship to chronic renal failure. It also summarizes broad clinical factors and related conditions discussed in the article.

  2. Renal Dialysis

    Discusses coding guidance related to dialysis admissions and associated renal failure scenarios. It includes example-based discussion and references procedure and diagnosis coding considerations.

  3. Diabetes Mellitus

    Covers coding guidance involving diabetes and renal manifestations in the setting of chronic renal failure. The section also references related ICD-9-CM conventions and an example scenario.

  4. Hypertensive Renal Disease

    Addresses coding guidance for renal disease associated with hypertension. It notes changes over time and discusses related ICD-9-CM classification context.

  5. Secondary Hypertension

    Summarizes coding guidance involving chronic renal failure with secondary hypertension and related renal conditions. It also references additional examples and related disease categories.

  6. Conclusion

    Provides a closing summary of the article’s broader ICD-9-CM and DRG context. It frames the issue at a high level without detailed coding instructions.

What You Will Learn

  • The general ICD-9-CM topics covered in the article
  • How the article frames renal failure in relation to dialysis and associated conditions
  • Which major comorbidity categories are discussed in connection with kidney disease coding
  • The historical context and guidance sources cited in the article

Who Should Read This

  • Medical coders
  • Coding auditors
  • Revenue cycle staff
  • Health information management professionals
  • Clinical documentation specialists

Codes Discussed

  • ICD-9-CM: 585
  • ICD-9-CM: 585.9
  • ICD-9-CM: V56.0
  • ICD-9-CM: 39.27
  • ICD-9-CM: 39.93
  • ICD-9-CM: 39.95
  • ICD-9-CM: 54.93
  • ICD-9-CM: 54.98
  • ICD-9-CM: 250.41
  • ICD-9-CM: 581.81
  • ICD-9-CM: 583.81
  • ICD-9-CM: 250.4
  • ICD-9-CM: 403.01
  • ICD-9-CM: 403.11
  • ICD-9-CM: 403.91
  • ICD-9-CM: 405.01
  • ICD-9-CM: 405.99
  • ICD-9-CM: 753.12
  • ICD-9-CM: 753.13
  • ICD-9-CM: 753.14
  • ICD-9-CM: 753.1
  • ICD-9-CM: 581.1
  • ICD-9-CM: 250.0
  • ICD-9-CM: 250
  • ICD-9-CM: 403.0
  • ICD-9-CM: 403.9
  • ICD-9-CM: 405.0
  • ICD-9-CM: 405.9
  • ICD-9-CM: 585.0
  • ICD-9-CM: 585.1
  • ICD-9-CM: 585.2
  • ICD-9-CM: 585.3
  • ICD-9-CM: 585.4
  • ICD-9-CM: 585.5
  • ICD-9-CM: 585.6
  • ICD-9-CM: 585.8
  • ICD-9-CM: 250.9

Code Ranges Discussed

  • ICD-9-CM: 250.0-250.9
  • ICD-9-CM: 403.0-403.9
  • ICD-9-CM: 405.01-405.99

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