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Multifactorial Anemia


Question

I will begin with and example of my question. Ex.  Documentation states, anemia is multifactorial.  There is evidence of chronic renal failure...etc, etc. Is it okay to code anemia due to the chronic renal failure?

Answer

You will probably see coders with differing opinions on this.  Some may follow strict coding guidelines and require that the physician document that the anemia is related to the renal failure.  Others will say that by stating the anemia is multifactorial, the physician is indicating a relationship between the anemia and the chronic renal failure.  The only way to be sure is to query the physician.


Disclaimer: All articles intended for general consumption only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.
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