tci ED Coding & Reimbursement Alert - 2010 Issue 7

Reader Questions: Anemia or Underlying Disease? You Decide

Question: A patient with mild (stage II) chronic kidney disease presented for increased lethargy, which the physician diagnosed as anemia. Which condition should I list first: anemia or CKD?Kansas SubscriberAnswer: The correct diagnoses sequence would be: 285.21 ��" Anemia in chronic kidney disease, first, and585.2 ��" Chronic kidney disease, Stage II (mild).Use the anemia codes as the principal/first listed code if the reason for the encounter is to treat the anemia, states the ICD-9-CM Official Guidelines for Coding and Reporting, Oct. 2009, (www.cdc.gov/nchs/data/icd9/icdguide09.pdf). They may also be used...

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