Sharon Dooley
Guest
Does anyone know of a source that indicates why it is stated that the order for sequencing 250.40, 403.90 and 585.3 requires Diabetes to be sequenced first?
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Wiki sequencing order in office coding?
- Thread starter Sharon Dooley
- Start date
kmhall
Guest
In the ICD-9-CM, under coding guidelines, Section I in Chapter 3 there are instructions for sequencing diabetes codes and associated conditions. I hope this helps.
Sharon Dooley
Guest
sequencing
That section discusses diabetes and its manifestations. It does not state why diabetes would be sequenced first when you have a co-equal co-morbidity also with renal involvement, such as hypertension with stage III kidney disease that is documented along with diabetes with renal manifestation. I am trying to find an authoritative source, other than a coding clinic which just states this is the case but does not tell us why.
Thanks,
That section discusses diabetes and its manifestations. It does not state why diabetes would be sequenced first when you have a co-equal co-morbidity also with renal involvement, such as hypertension with stage III kidney disease that is documented along with diabetes with renal manifestation. I am trying to find an authoritative source, other than a coding clinic which just states this is the case but does not tell us why.
Thanks,
kmhall
Guest
Sorry I couldn't be of more help. I'm sure someone out there will have the answer you are looking for.
kevbshields
Guest
Why is it necessary to justify the purpose of a coding guideline? ICD-9 is rather authoritative in my eyes. Sequencing is based on capturing data in a uniform and recognizable fashion. Even then, you still have providers and claim submitters who do not abide by those standards. Stardardization is the key to many of the ICD manual's requirements, so I'd suspect it to be so in this case as well.
Good luck!
Good luck!