Need some help from the Pro-fee coders out there…. I’m running into this a lot working in Nephrology.

Some providers state in their Assessment & Plan: CKD "likely" due to HTN or ESRD "suspect" DN (Diabetic Nephropathy).

Do we still code the causal relationship combo code between HTN & CKD or DN & ESRD in these instances with the "likely" & "suspect" verbiage? Or does the "uncertain diagnosis" rule kick in and we just code the HTN & CKD / Diabetes & ESRD out separately without the combo codes?

Thanks and I appreciate any feedback on this :confused: