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Coding Diabetes

  1. #1
    Question Coding Diabetes
    Exam Training Packages
    How would you code the following? They are all on one chart.

    Diabetic foot ulcer
    DM II insulin uncontrolled
    Diabetic neuropathy

  2. #2
    Location
    Columbia, MO
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    12,570
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    250.82
    250.62
    707.15
    357.2

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default
    Thanks Debra -

    Would that be considered contractory, with the 250.82 and 250.62? Just asking

  4. #4
    Location
    Columbia, MO
    Posts
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    No it indicates multiple complications, you can have as many of thise as is documented, you just may not have a 250.0x once you have a 4th digit indicating complication

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Default
    diabetic foot ulcer = 250.80, 707.15
    DM II insulin uncontrolled = 250.02
    diabetic neuropathy = 250.60, 357.2

  6. #6
    Default
    280.52, 280.62, 707.15 & 357.2.

    You can use as many diabetes codes as it takes. It is not contractory and it is actually recommended to do so. I was always told that you should use ALL diabetes codes of manifestations from the disease as is documented in the chart.

  7. #7
    Location
    Columbia, MO
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    Quote Originally Posted by hlew View Post
    diabetic foot ulcer = 250.80, 707.15
    DM II insulin uncontrolled = 250.02
    diabetic neuropathy = 250.60, 357.2
    In your answer, you need to use the fifth digit of 2 since it is stated as uncontrolled therefore: 250.62, not 250.60 and 250.82, not 250.80 codes, also you do not code the 250.02 at all as the fourth digit in that indicates no complication and the documentation supports two complications

    Debra A. Mitchell, MSPH, CPC-H

  8. #8
    Default
    Quote Originally Posted by mitchellde View Post
    In your answer, you need to use the fifth digit of 2 since it is stated as uncontrolled therefore: 250.62, not 250.60 and 250.82, not 250.80 codes, also you do not code the 250.02 at all as the fourth digit in that indicates no complication and the documentation supports two complications
    I perfectly agree too

    It would be as stated previously:


    250.62
    357.2
    250.82
    707.15

    I'm not sure that the exact order means anything as long as the diabetes comes first. I put mine linked in order. Diabetic neuropathy with neuropathy code and Diabetic Ulcer with ulcer code.
    Heidi Thompson, CPC

  9. #9
    Location
    casper,wyoming
    Posts
    31
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    I agree, with Heidi,
    250.62
    357.2
    250.82
    707.15

  10. Default
    Don't forget the V58.67 for insulin use.

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