Provider note states End Stage Renal Disease as Dx but according to Guidelines, I need to "Code first any associated: diabetic chronic kidney disease" (E11.22 is what I need to code, and further instruction for sequencing).
My question is, because of sequencing, then my primary code will be for E11.22 -Diabetes Mellitus II (with Z79.84 – Oral Antidiabetic Drug) then, I12.0 – Hypertension with CKD/ESRD, and finally N18.6 – End Stage Renal Disease (with Z99.2 Hemo Dependent)? That’s how I’m understanding my guidelines.
Thank you in advance!