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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Article Overview
This article explains a hospital coding scenario involving end stage renal disease documented as resulting from congenital polycystic kidney disease, with additional discussion of the provider’s note that polycystic kidney disease underlies hypertension. It references ICD-10-CM Official Coding Guidelines and focuses on how the clinical documentation should be understood from a coding perspective for inpatient diagnosis reporting. The content is aimed at coders and other reimbursement professionals who need to recognize when renal disease, congenital conditions, and hypertension guidance intersect.
Why This Topic Matters
Accurate reporting of renal and congenital conditions can affect diagnosis grouping, risk adjustment, and the integrity of the clinical record. This topic is especially relevant when documentation includes both kidney disease and hypertension in a way that may trigger guideline-based assumptions.
What You Will Learn
- How the article frames end stage renal disease documented with a congenital kidney condition
- How ICD-10-CM Official Coding Guidelines are referenced in the scenario
- What broad coding considerations arise when hypertension and chronic kidney disease appear together in documentation
- How to approach a hospital admission example involving renal and congenital diagnoses
Who Should Read This
- Medical coders
- Inpatient coding professionals
- Clinical documentation specialists
- Revenue cycle staff
- Health information management professionals
Codes Discussed
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