Coding Diabetes

1. Coding Diabetes
How would you code the following? They are all on one chart.

Diabetic foot ulcer
DM II insulin uncontrolled
Diabetic neuropathy

2. 250.82
250.62
707.15
357.2

3. Thanks Debra -

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

4. 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

5. Guest
Posts
10
diabetic foot ulcer = 250.80, 707.15
DM II insulin uncontrolled = 250.02
diabetic neuropathy = 250.60, 357.2

6. Guest
Location
Bangor, Maine
Posts
717
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. Originally Posted by hlew
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

8. Originally Posted by mitchellde
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.

9. I agree, with Heidi,
250.62
357.2
250.82
707.15

10. Guest
Posts
158
Don't forget the V58.67 for insulin use.

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