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DM coding guidelines

  1. #1
    Default DM coding guidelines
    Medical Coding Books
    Good morning everyone

    In a facility setting physicians are using the software and coding themselves for their patients. When I reviewed the documentation they wrote A1C lab value and code diabetes uncontrolled (right code as per clinical evaluation) .Is it Ok for audit?

  2. #2
    Location
    Columbia, MO
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    12,531
    Default
    the diabetes must be documented as uncontrolled not inferred with a lab value.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default
    Thank U Debra

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