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Transcript 
ICD-10 Re-Code: What We Discovered
• MS-DRG changed due to change in principal
diagnosis per sequencing instructions in ICD-10CM Official Coding Guidelines
• Anemia in chronic kidney disease is a classified
as a manifestation of chronic kidney disease
– Manifestation codes cannot be assigned as
principal diagnosis
• Notes instruct to code first the underlying
disease of ESRD
• Under ESRD, there is another instructional to
code first any hypertensive chronic kidney
disease
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