ESRD & Diabetes

I am coding for a dialysis facility, therefore all of my patients have ESRD (N18.6). The majority of my patients also have diabetes, but it is either not documented as to whether diabetes caused the ESRD or the record will state the ESRD was caused by another disorder, but the patient also has DM.

My question is: If diabetes is not listed as the cause of ESRD or there is another cause for the ESRD, do I still code E10.22 or E11.22 for the diabetes?

Others have advised when DM is not listed as the cause of ESRD, to code E10.21 / E11.21 or E10.29 / E11.29. I am having a hard time understanding this since one is for diabetic nephropathy and other diabetic kidney complications.

I am wondering if coding for diabetes & ERSD is similar to coding HTN & ESRD, whereas the relationship is assumed.

Would someone please advise?

Thank you!!

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ESRD & Diabetes