AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 3; Ask the Editor

End Stage Renal Disease due to Polycystic Kidney Disease

A patient is admitted to the hospital with syncope. The provider’s final diagnostic statement lists “End stage renal disease (ESRD) due to congenital polycystic kidney disease.” The provider also noted polycystic kidney disease as the underlying cause of hypertension.” The Official Coding Guidelines Section I.C.9.a.2., states that ICD-10-CM presumes a cause-and-effect relationship and classifies hypertension with chronic kidney disease (CKD) as hypertensive chronic kidney disease. However, in this case the patient has ESRD due to a congenital disorder. How should ESRD due to congenital polycystic kidney disease be coded?   ...

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