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Diabetic manisfestations code

  1. #1
    Default Diabetic manisfestations code
    Medical Coding Books
    patient has DM retinopathy.Should I code 250.5/362.01 and 250.00 Or can I code only DM retinopathy

    Thank you

  2. #2
    Location
    Kansas City, MO
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    250.5x, and code for diabetic retinopathy.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC,CCC
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    President, 2018
    Vice President, 2017
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

  3. #3
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    When ever you have a manifestation you must use 250.xx first then the manifestation which is retinopathy 362.xx

  4. #4
    Location
    Columbia, MO
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    12,526
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    Quote Originally Posted by kumeena View Post
    patient has DM retinopathy.Should I code 250.5/362.01 and 250.00 Or can I code only DM retinopathy

    Thank you
    You code the 250.5x first and the 362.01 code secondary
    you do not code the 250.00 once a diabetic complication is documented. 250.00 is uncomplicated diabetes and the patient cannot be both uncomplicated and complicated at the same time.

    Debra A. Mitchell, MSPH, CPC-H

  5. Default
    Combination code is enough but there should be a clear cause and effect documentation by the physician to code the combination codes of 250.XX.
    Thanks,
    Jagadish, CCS-P, CPC

  6. #6
    Location
    Columbia, MO
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    Quote Originally Posted by Jagadish View Post
    Combination code is enough but there should be a clear cause and effect documentation by the physician to code the combination codes of 250.XX.
    I agree you must have the documentation but the combination code is not enough the code book states to use an addition code to specify the manifestation code for the 250.xx codes when the 4 digit represents a complication, so you must always have at minimum 2 codes for diabetes with a manifestation.

    Debra A. Mitchell, MSPH, CPC-H

  7. Default
    I meant 250.5x is enough and no need of 250.00 again. we definitely should report the manifestion code in the slanted brackets along with the combination code
    Thanks,
    Jagadish, CCS-P, CPC

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