If a provider documents "CKD stage 3-4," do you code to the highest level? There is some debate between coding and CDI about coding this scenario. Thanks!
At previous employers we always coded to the highest level when it came to CKD, unless the scenario is as proddy@clarionhospital.org described. I don't think that's conflicting. Thanks for the input! If anyone has anything to add, please do so.
Comments
Could this be considered conflicting documentation which would require clarification?