How to code CKD 3-4?

My colleagues and I are trying to determine if there is a set policy or guideline for coding of diagnoses that providers use a range for.

Such as:

CKD stage 3-4

Protein calorie malnutrition, moderate - severe.

Do you code to the highest level documented, or query for clarification?

Thank you,


Theresa Cardona RN/CCDS

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