AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2013 Issue 4; Ask the Editor

Lupus Nephritis Complicated by End Stage Renal Disease

The patient is a 41-year-old female with a history of lupus complicated by lupus nephritis and CKD stage 5, which has progressed to end stage renal disease (ESRD). She is admitted for insertion of a peritoneal dialysis catheter that was placed without complications. She was discharged with plans to follow-up with a dialysis nurse as an outpatient and to start peritoneal dialysis once the site has healed. Given the circumstances of admission, which condition should be sequenced as principal diagnosis (ESRD or the lupus nephritis)? The patient is not currently on dialysis.  ...

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