Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Diagnosis Coding
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 06-06-2011, 09:57 AM
paigebatten paigebatten is offline
New
 
Join Date: Apr 2007
Posts: 5
paigebatten is on a distinguished road
Default post transplant diabetes mellitus

If you have a pt with PTDM do you code it as a complication of the transplant? Snd is the diabetes secondary? Not sure what to do here.
Reply With Quote
  #2  
Old 06-06-2011, 11:00 AM
terribrown terribrown is offline
Networker
 
Join Date: Apr 2007
Posts: 63
terribrown is an unknown quantity at this point
Default

If that is all the information the physician documented, you need to go back and ask for more. What is the transplanted organ? Did the patient have DM before the transplant? IF the transplanted organ is the pancreas, is the pancreas producing insulin but the body is not absorbing it? Is the patient rejecting the transplant? Is the pancreas not producing insulin and then the doctor is stating the transplant has failed? A condition as multi-faceted as this needs more information provided to make the correct coding assignment.
Reply With Quote
  #3  
Old 06-06-2011, 11:06 AM
paigebatten paigebatten is offline
New
 
Join Date: Apr 2007
Posts: 5
paigebatten is on a distinguished road
Default

It was a kidney transplant and they did not have DM prior to the transplant, and there is no mention of rejection.
Reply With Quote
  #4  
Old 06-06-2011, 12:34 PM
terribrown terribrown is offline
Networker
 
Join Date: Apr 2007
Posts: 63
terribrown is an unknown quantity at this point
Default

I have not found one definitive cause for PTDM; various factors could be age, ethnicity, deceased donor, obesity and/or drug use. Without the link as to WHAT caused the complication, I'd be learly of assigning a complication code based on the guidelines for 996.81 (Complication of transplanted organ, kidney). However, PTDM is considered a secondary DM because of an event (the transplant) that caused the onset, so a code from 249.xx would be appropriate.
Reply With Quote
  #5  
Old 06-06-2011, 12:37 PM
paigebatten paigebatten is offline
New
 
Join Date: Apr 2007
Posts: 5
paigebatten is on a distinguished road
Default

Ok that makes perfect sense. Thanks for your help.
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 06:51 PM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC