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Thread: diabetes coding

  1. #1

    Default diabetes coding

    AAPC: Back to School
    Can anyone tell me if CMS ruled on using " with" when coding diabetes with complications. ex.- diabetes with nephropathy.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    You code the diabetes code first with the 4th digit indicating complication and then the code for the manifestation. The diabetes code can be either 250.xx or 249.xx depending the type supported by the documentation. You might want to clarify that the nephrology is a complication of the diabetes.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007
    San Antonio, Texas

    Default Diabetes Coding

    Diabetes WITH Nephropathy

    Code is 250.4X (add 5th digit), and 583.81. As last person said, confirm that the nephropathy is a manifestation of the diabetes with the physician (who should have documented this).

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