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Uncontrolled type II diabetes mellitus.

  1. Default Uncontrolled type II diabetes mellitus.
    Medical Coding Books
    Need Help... would you code Uncontrolled type II DM as 250.92 or 250.02

  2. #2
    Quote Originally Posted by mdunn View Post
    you would use 250.02 unless there was some sort of complication indicated. 250.92 states type II dm with unspecified complication, uncontrolled.
    Yep, what she said
    Heidi Thompson, CPC

  3. Default
    thanks so much... Just wanted to confirm...

  4. Default DM with mild renal insufficieny
    The code book takes the coder to 250.4x for diabetic nephropathy and 583.81 for the manifestation. If the note states CKD, it's coded to 250.4x and 585.x. What if the note states DM with mild renal insufficiency? Would this code to 250.0x or 250.9x, and the 593.9. I don't think we can code this to the 250.4x and 593.9, since mild renal insufficiency is not a chronic kidney disease, necessarily. The provider does link the DM to the RI.... Any thoughts?

  5. #5
    Stuart, Florida
    250.4X is the code for DM II with RENAL manifestations. Therefore, if the doctor documents the patient as having DM II with mild renal insufficiency, it would code to 250.4X and the code for the renal manifestion, whatever the renal manifestation may be.

    Hope this helps!
    Vanessa Mier, CPC

  6. Default
    I just go by the index in the I-9 book and I don't see anything regarding 'renal manifestations.' Indexing Diabetes, diabetic:
    renal (true) 271.4
    nephropathy 250.4x {583.81}
    nephrosis (syndrome) 250.4x {581.81}

    There is nothing to indicate that DM with mild renal insufficiency would code to the 250.4x series. It's a 'given' that when the provider 'links' the DM to the CKD, it's coded to 250.4x and 585.x, but can't find any guidance on using 250.4x with mild renal insufficiency. However; your reasoning is the most logical over using 250.9x, since we 'do' have the linkage of the DM with RI. I will use the 250.4x and go from there.

    Thank you!

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