Results 1 to 9 of 9

Thread: Diabetes: Uncontrolled vs poorly controlled

  1. #1

    Default Diabetes: Uncontrolled vs poorly controlled

    Promo: Code Books
    If the physician states that the diabetes is not adequately controlled or poorly controlled does that constitute "uncontrolled"? The code 250.00 says "not stated as uncontrolled" and that is what I am using. I have been told that I am incorrect.

  2. #2

    Wink Daibetes

    Good morning~

    Diabetes poorly controlled or not adequately is absolutely diabetes, uncontrolled. If it is Type 1, you need to code 250.03
    Type !!, you need to code 250.02

    Hope this helps!

    Joyce

  3. #3
    Join Date
    Apr 2007
    Location
    Bradenton Fl
    Posts
    29

    Default

    Hi,
    If physician says that the diabetes is not adequately controlled or poorly controlled than it is uncontrolled. If it's type 1 code 250.03 , if type!! code 250.02
    hope this information help
    Ms.Tyus

  4. #4

    Default

    In the ICD-9 index under Diabetes under poorly controlled it states:

    code to Diabetes, by type, with 5th digit for not stated as uncontrolled.

    My training was query the doctor for clarification when terms like poorly or not adequately controlled are used.
    Last edited by coderguy1939; 11-25-2009 at 09:56 AM.

  5. #5
    Join Date
    Apr 2007
    Location
    Columbia, MO
    Posts
    12,170

    Default

    Quote Originally Posted by coderguy1939 View Post
    In the ICD-9 index under Diabetes under poorly controlled it states:

    code to Diabetes, by type, with 5th digit for not stated as uncontrolled.

    My training was query the doctor for clarification when terms like poorly or not adequately controlled are used.
    That is correct .. several issues of the ICD-9 coding clinics have stated that poorly controlled is not the same as uncontrolled and uncontrolled diabetes must be stated as such by the physician or it is to be coded as not stated as uncontrolled.

    Debra A. Mitchell, MSPH, CPC-H

  6. #6

    Talking

    Found this on Supercoder:
    Correction: Diabetes

    In the August 2005 issue of ED Coding Alert, the article “Clear 5th-Digit DM Obstacles With These Rules of Thumb” contained a mistake. Under the heading “Control Your Conclusions,” Dr. Garry Huff was cited as saying that “uncontrolled” and “poorly controlled” are synonymous when describing diabetes.

    In fact, Dr. Huff says these terms are not synonymous. The article should have stated that while doctors may use the terms “uncontrolled” and “poorly controlled” interchangeably, they are not synonymous, according to Huff. But the terms “uncontrolled” and “out of control” are synonymous, he says.

    We regret the misquote, and we thank Dr. Huff for providing this information.

  7. #7
    Join Date
    Apr 2007
    Location
    Houston, Texas
    Posts
    24

    Default uncontrolled/poor control

    Well, as usual in the coding field....that makes it clear as mud! I thought that I had the difinitive answer to that question, YES uncontrolled and poorly controlled are the same as per the study guides that I have read before. But now after reading the article above I am confused.

  8. #8
    Join Date
    Apr 2007
    Location
    Houston, Texas
    Posts
    24

    Default uncontrolled diabetes -vs- controlled diabetes

    The rule of thumb that I was given is IF the patients HgA1c is within normal limits then it is controlled diabetes, if it is not then it is uncontrolled diabetes.

  9. #9
    Join Date
    Apr 2007
    Location
    Columbia, MO
    Posts
    12,170

    Default

    coders are not to interpret lab results. If it is not stated as uncontrolled in the documentation then we cannot code it as such. If you look at the 5th digit definitions in the code book it says "not STATED as uncontrolled.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Diabetes, type 2, uncontrolled for I-10
    By asmith79 in forum Diagnosis Coding
    Replies: 7
    Last Post: 09-30-2016, 02:55 PM
  2. Diabetes, type 2, uncontrolled for I-10
    By asmith79 in forum ICD-10
    Replies: 11
    Last Post: 04-07-2016, 03:29 PM
  3. dx documentation for uncontrolled diabetes
    By SHobbs in forum Diagnosis Coding
    Replies: 2
    Last Post: 05-18-2012, 11:08 AM
  4. uncontrolled diabetes
    By mkm1517 in forum Diagnosis Coding
    Replies: 0
    Last Post: 01-15-2009, 01:56 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.