Coding of ESRD

If the patient has a history of ESRD and has a transplanted kidney that is functioning (no sign of disease in the transplanted kidney) can the ESRD still be coded?

Aug 11th, 2010 -

Why

do you need to code it? Use all the other diagnoses- I am sure that the patient has many other illnesses

Aug 12th, 2010 - pkreber 1

Esrd

The ESRD adds a mcc and raises the DRG. There usually are lots of other diagnosis, but not always a mcc.

Mar 22nd, 2011 - bamakt 1

Esrd

A patient is only ESRD if they are on dialysis. You would have to use the CKD level as the diagnosis; ie: 585.1-585.5, not ESRD 585.6...

Mar 31st, 2011 - HIMcoder 41

re: Coding of ESRD

no, don't code it if it's functioning.