Dm manifestations

pegjoh5746

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Elizabeth, CO
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We have a management company telling our doctors that Atherosclerosis of extremities due to DM should be classifed under (250.70) DM with peripheral circulatory disorders, especially if the pt has a lower extremity ulcer. I felt that if the patient has atherosclerosis with lower extremity ulceraction due to dm it should be classifed as (250.80) DM w/specified manifestations. I would appreciate any thoughts on this subject. Thanks
 

mitchellde

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It is possible you are both correct depending on the documentation you can use both the 250.7x and the 250.8x with the athersclerosis and the ulceration as the manifestations.
 

SherryMiller

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If the ulceration is due to the atherosclerosis associated with DM, classify it as a 250.7X.
If the ulceration is not related to the atherosclerosis, then classify it as 250.8X.
The coding is dependent upon the detail in the documentation.
 
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