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Diabetic combination codes

If you have a diabetic patient who is hypertensive, with stage 3 kidney disease, is the assumption still that the kidney disease is related to the hypertension? If so, would I still bill the diabetes with renal manifestations?
Does the provider have to link the chronic kidney disease to the diabetes in order to use the E11.22 code?
Do they actually have to say "due to" or "Because of" type wording before you can combine the codes.
I’m having a hard time understanding this.
Thanks
Nancy

Medical Billing and Coding Forum