2023 ICD 10 CM CODING GUIDELINES FOR Chapter 14 Diseases of Genitourinary System N00 N99

This paragraph introduces the discussion on the 20023 ICT NCM coding guidelines, focusing on Chapter 14 which covers diseases of the genitourinary system. It notes that there have been no changes from the previous year for this chapter. The main topic of discussion is chronic kidney disease (CKD), and the video delves into the specifics of CKD coding. CKD is described as a multi-system disease resulting from progressive loss of kidney function, typically measured by glomerular filtration rate (GFR). Lower GFR values indicate more severe CKD. The stages of CKD, kidney transplant status, and CKD with other conditions are outlined, with specific guidelines for coding these topics. CKD is categorized into six stages, with stage 6 being the final stage known as end-stage renal disease (ESRD). The paragraph also discusses the ICD codes assigned to each stage of CKD and the importance of accurate documentation and coding by physicians.

This paragraph provides examples of how to code for different scenarios involving CKD, including end-stage renal disease (ESRD) and kidney transplant status. It explains that when both ESRD and CKD stage 5 are documented, the code N18.6 should be used, followed by Z99.2 for chronic dialysis status. The paragraph clarifies that when CKD stage 5 requiring chronic dialysis is documented, the code should be N18.6 instead of N18.5. It also discusses the coding for patients with a kidney transplant who may still have some form of CKD, emphasizing that the presence of CKD alone does not constitute a transplant complication. The appropriate ICD codes for such cases are provided, along with examples of coding for patients with CKD and other conditions like hypertension or heart failure.

This paragraph expands on the coding for CKD when it is associated with other conditions such as diabetes or hypertension. It details the requirement for two codes in the case of diabetic CKD, one for the type of diabetes and one for the stage of CKD. Similarly, hypertensive CKD may require two or three codes, depending on the presence of heart failure. The paragraph outlines the specific ICD codes for different combinations of CKD with hypertension and heart conditions. It also provides examples of coding scenarios, including patients with CKD and acute renal failure, and emphasizes the importance of accurate coding based on the physician's documentation.

The paragraph discusses complex coding scenarios involving CKD with comorbidities such as hypertension and heart conditions. It provides detailed information on the ICD codes for hypertensive heart disease with and without heart failure, as well as the additional codes required for CKD stages and dialysis status. The paragraph includes examples of coding for patients with various combinations of hypertension, heart failure, and CKD, highlighting the need for multiple codes in certain cases. It also addresses the coding for transplant complications and the distinction between CKD as a comorbidity and a transplant complication.

In the final paragraph, the video script wraps up the discussion on CKD coding, providing a brief overview of the key points covered in the previous sections. It encourages viewers to subscribe for further videos on medical coding and CKD training, indicating that additional resources are available for those interested in deepening their understanding of the topic.