AHA Coding Clinic® for ICD-9 - 2013 Issue 3; Ask the Editor
Polycystic Kidney Disease Status Post Kidney Transplant
When a patient with a history of polycystic kidney disease (PKD) presents status post kidney transplant, should the PKD still be reported? At our facility, transplant patients typically receive a unilateral renal transplant and the original kidneys are not removed from the body. Should the patient’s history of polycystic kidney disease be reported as an additional diagnosis for these post transplant patients? ...
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Article Overview
This article discusses how coding guidance treats patients with polycystic kidney disease who are seen after kidney transplant. It is relevant to coders and billing staff working with post-transplant records, diagnosis reporting, and legacy ICD-9-CM guidance that references transplant status alongside the underlying condition. The article focuses on the general reporting question and the relationship between a chronic kidney condition and transplant history.
Why This Topic Matters
Post-transplant records often require careful diagnosis reporting so the medical record reflects both transplant status and the underlying chronic condition when applicable. This article helps users understand the scope of that issue in the context of polycystic kidney disease and kidney transplant coding guidance.
What You Will Learn
- How post-kidney-transplant diagnosis reporting is discussed in the context of polycystic kidney disease
- How transplant status is considered alongside a pre-existing chronic kidney condition
- How the article frames legacy ICD-9-CM guidance for this scenario
- What type of documentation question the article is intended to address
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation staff
- Billing personnel
- Revenue cycle professionals
Codes Discussed
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