Outpatient Facility Coding Alert
Dig Deeper for Type of Manifestation in Diabetic Neuropathy
PDF
Question: The physician’s notes included documentation that a patient has diabetes complicated by peripheral neuropathy. What diagnosis codes should we report?
Answer: The primary diagnosis code for diabetic neuropathy is 250.6x (Diabetes with neurological manifestations). Depending upon whether it is type I or type II diabetes and if it is uncontrolled or not, you select from the following 4 codes:
250.60 — Diabetes with neurological manifestations, type II or unspecified type, not stated as uncontrolled
250.61 — Diabetes with neurological manifestations, type I [juvenile type], not stated as uncontrolled
250.62 — Diabetes with neurological manifestations, type II or unspecified type, uncontrolled
250.63 — Diabetes with neurological manifestations, type I [juvenile type], uncontrolled.
The instructions under code 250.6x direct you to use an additional code to identify manifestations. Both 337.1 (Peripheral autonomic neuropathy in disorders classified elsewhere) and 357.2 (Polyneuropathy in diabetes) are among the possible manifestations listed under the code 250.6x.
In this case, your physician has just mentioned peripheral neuropathy, which is not enough information to allow you to choose between the two codes. Therefore, follow up with the physician and clarify what peripheral neuropathic condition in specific the patient had.
Florida Subscriber
Outpatient Facility Coding Alert
- Spinal Procedures:
Follow 3 C's to Capture Radiological Supervision During Vertebroplasty
This detail helps separate vertebroplasty from kyphoplasty. If surgeons in your facility perform vertebroplasties, be [...] - Chemotherapy:
Don't Miss These Key Revisions to 96401-96549 Guidelines
One coding example specifically applies to facilities. CPT® 2013 includes nearly half a page of [...] - Reimbursement:
Know Your Patients' Payers to Capture Legitimate Post-Op Revenue
Don’t automatically skip billing for post-surgical infection care. Wondering whether services associated with a postoperative [...] - ICD-10:
Salivary Gland Denervation Brings Simple ICD-10 Changes
Prepare to replace 527.2 with K code in 2014. When you report code 64611 (Chemodenervation [...] - You Be the Coder:
Choose a Diagnosis for Postoperative Swelling
Question: I cannot locate "post-operative swelling" under the status choices for postoperative diagnoses? Can you [...] - Reader Question:
Look to Category 320 for Diagnostic Radiology
Question: What is the appropriate revenue code (for UB-04 billing) for CPT® codes 73030 and [...] - Reader Question:
Documentation Is Crucial to Reporting Bilateral Injections
Question: One of the pain management specialists submitted the following documentation: "Utilizing fluoroscopic guidance in [...] - Reader Question:
Dig Deeper for Type of Manifestation in Diabetic Neuropathy
Question: The physician’s notes included documentation that a patient has diabetes complicated by peripheral neuropathy. [...] - Reader Question:
Toe the Right Line With Osteotomy and Reconstruction Modifiers
Question: The surgeon completed Mitchell osteotomy on the left foot first metatarsal, and hammertoe reconstruction [...] - Reader Question:
Verify Date of Eligibility for Patients With New Insurance
Question: A patient who is scheduled for surgery says she has new coverage, but hasn’t [...] - Reader Question:
Code 25111 Covers Both Synovectomy and Ganglion Excision
Question: In a patient diagnosed with synovitis with first dorsal compartment tendinitis and ganglion formation [...]