Ask An Expert: diabetes
| Q: | My physician documents diabetes as follows: DMII/CKD III/Peripheral neuropathy. What is the correct way to code this? |
| A: |
Assuming your provider is the last hold-out from an EMR conversion, and based on the way you wrote your question, the correct ICD-10-CM codes are: E11.22 N18.3 E11.40 Remember that you cannot infer a causal relationship between the diabetes and … Read Full Post |
| Q: | The doctor documented that a patient has DM with glaucoma. How do I code this for MRA purposes? |
| A: |
Glaucoma can be a manifestation of a patient’s diabetes and the situation you describe would be coded as E11.39 and H42. (Remember that absent a specified diabetes type, the default is Type 2.) Although a lot of diabetics also have … Read Full Post |
| Q: | Can a patient’s varicose veins or venous stasis be caused by their DM and coded as manifestations of ICD-9-CM code 250.7x, diabetes with peripheral circulatory manifestations? |
| A: |
No. The ICD-9-CM coding guidelines state that diabetic gangrene (785.4) and diabetic peripheral angiopathy/PVD (443.81/443.9) are the manifestations associated with ICD-9-CM code 250.7x, diabetes with peripheral circulatory manifestations. |
| Q: | My physician documents diabetes as follows: DMII/CKD III/Peripheral neuropathy. What is the correct way to code this? |
| A: |
Based on the way you wrote your question, the correct ICD-9-CM codes are: 250.00 585.3 356.9 Remember that you cannot infer a causal relationship between the diabetes and the other two conditions unless the clinician specifically documents it by using … Read Full Post |