twizzle
Guest
I have a provider who documented 'unstable type 2 diabetes, improving (HbA1c has come down from 9.2 to 8.8). Start on new meds as prescribed'.
I was auditing a coder who used E11.9 (type 2 DM without complications) which I said was incorrect. I recommended E11.8 (type 2 DM with unspecified complications). We can't code E11.65 because, despite the high HbA1c we can't make the clinical determination that the patient has hyperglycemia.
I was told that E11.9 is correct which I strongly disagree with. Anyone encountered this scenario and how did you code it? I can't find anything online pertaining to how to code unstable type 2 DM.
I was auditing a coder who used E11.9 (type 2 DM without complications) which I said was incorrect. I recommended E11.8 (type 2 DM with unspecified complications). We can't code E11.65 because, despite the high HbA1c we can't make the clinical determination that the patient has hyperglycemia.
I was told that E11.9 is correct which I strongly disagree with. Anyone encountered this scenario and how did you code it? I can't find anything online pertaining to how to code unstable type 2 DM.
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