Anemia and CKD
We had an issue come up today and I would appreciate any help.
Pt presents w/ anemia, hgb 4.8, symptomatic. transfused, had EGD no findings, + fecal occult blood. Doing colonoscopy as outpt. per her request. Pt has HTN and CKD stage 3. I coded the anemia as PDX since focus of care. Our coder states that anemia is auto linked to CKD? I agree that if the documentation states anemia in, d/t, with CKD then yes I would link them. This record calls it normocytic anemia and never links the conditions. As we were talking about it she explained that when you type anemia in encoder number 7 says in(due to)(with) (eg. chronic kidney disease), therefore a link is provided.
I have never had this come up before. Any information is appreciated.
Thanks,
Amy Fenton RN CDI
Bronson Healthcare Group
Kalamazoo MI
Pt presents w/ anemia, hgb 4.8, symptomatic. transfused, had EGD no findings, + fecal occult blood. Doing colonoscopy as outpt. per her request. Pt has HTN and CKD stage 3. I coded the anemia as PDX since focus of care. Our coder states that anemia is auto linked to CKD? I agree that if the documentation states anemia in, d/t, with CKD then yes I would link them. This record calls it normocytic anemia and never links the conditions. As we were talking about it she explained that when you type anemia in encoder number 7 says in(due to)(with) (eg. chronic kidney disease), therefore a link is provided.
I have never had this come up before. Any information is appreciated.
Thanks,
Amy Fenton RN CDI
Bronson Healthcare Group
Kalamazoo MI
Comments
Pt presents w/ anemia, hgb 4.8, symptomatic. transfused, had EGD no findings, + fecal occult blood. Doing colonoscopy as outpt. per her request. Pt has HTN and CKD stage 3. I coded the anemia as PDX since focus of care. Our coder states that anemia is auto linked to CKD? I agree that if the documentation states anemia in, d/t, with CKD then yes I would link them. This record calls it normocytic anemia and never links the conditions. As we were talking about it she explained that when you type anemia in encoder number 7 says in(due to)(with) (eg. chronic kidney disease), therefore a link is provided.
I have never had this come up before. Any information is appreciated.
Thanks,
Amy Fenton RN CDI
Bronson Healthcare Group
Kalamazoo MI