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Multifactorial Anemia


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?


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.

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