DM and Neuropathy

kimms

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Hi, if a doctor documents diabetes and then later lists Neuropathy in his diagnosis list. Can you assume Neuropathy was caused by the diabetes? I don't believe you can do this, but I was told to assume the two even if not stated as due to or with. Please tell me where I can find the guidelines that states you can assume. Thank you :)
 

mitchellde

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The coding guidelines has an entire section on diabetes and states that the physician must document that the condition is a manifestation of the diabetes. The coding guidelines are very specific for the instances when causal relations are presumed to exist and guide to the correct coding.
 

kimms

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Thank you, this is how I felt. Only I am being told by a supervisor to assume the DM and the Neuropathy. It was stated that there was a new guideline for this and I haven't found it. So thanks for the info.
 

mitchellde

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If your supervisor can produce this guideline I would love to see it, but the only official guidelines that are HIPAA mandated to tbe followed are those from the CDC, on the first page of the guidelines is a paragraph that tells us these are HIPAA mandated to be followed.
 
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