heatherwinters
Expert
If a patient had previous abnormal glucose levels but now the lab values are normal, can a clinician continue to use the 790.21 code in his assessment to justify further follow up?
My thought is no. You must code based on what you know to be true at the time of reporting and currently the examination of the blood is normal. 790.21 is used to report an abnormal finding on examination of blood - impaired fasting glucose. If the fasting glucose is normal, the assessment is no longer justified.
The clinicians I work with feels that 790.21 is an abnormality of the metabolic/endocrine system that results in elevated glucose levels which do not yet approach those of diabetes.
Would V12.29 be appropriate in this scenario or perhaps 790.29 - but even then if lab values are now normal I don't know that is justified.
My thought is no. You must code based on what you know to be true at the time of reporting and currently the examination of the blood is normal. 790.21 is used to report an abnormal finding on examination of blood - impaired fasting glucose. If the fasting glucose is normal, the assessment is no longer justified.
The clinicians I work with feels that 790.21 is an abnormality of the metabolic/endocrine system that results in elevated glucose levels which do not yet approach those of diabetes.
Would V12.29 be appropriate in this scenario or perhaps 790.29 - but even then if lab values are now normal I don't know that is justified.
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