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Jenny is on dialysis three times a week, 4 hours a day, due to her End-Stage Renal Disease. Yesterday she went into her primary care office and they diagnosed her with anemia, as a side-effect of her ESRD. What are the correct ICD-9 codes for her visit?
  1. 285.22, 585.1
  2. 285.21, 585.9
  3. 585.6, 282.21
  4. 285.21, 585.6
Explanation
Answer: D - The correct codes from her visit are: 285.21 and 585.6. According to ICD-9 coding guidelines, when a patient develops anemia as a result of chronic kidney disease, the anemia is sequenced first and the kidney disease second. In this case, the code 285.21 (Anemia in Chronic Kidney Disease) is sequenced first and code585.6 (End-Stage Renal Disease) is sequenced second.
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