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Thread: Dx code: Brittle DM (Diabetes Mellitus)

  1. #1
    Join Date
    Apr 2007

    Default Dx code: Brittle DM (Diabetes Mellitus)

    AAPC: Back to School
    Would you code brittle DM as (uncontrolled or not stated as uncontrolled) DM?


  2. #2
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    Brittle diabetes is exceptionally difficult to control, marked by alternating episodes of hypoglycemia and hyperglycemia. Frequent adjustments of dietary intake and insulin dosage are required.

    However, even brittle diabetes can be "controlled" with vigilance on the part of the patient and/or caregivers. Therefore, unless the provider specifically stated it was uncontrolled or mentions varying blood sugars, changed the insulin dose, etc., I would not code is as uncontrolled.

    Hope this helps,
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  3. #3
    Join Date
    Apr 2007

    Default Dx code: Brittle DM (Diabetes Mellitus)

    Yes, this helps tremendously. The physician didn't mention uncontrolled but did mention varying BS and change of insulin doses.

    Thanks You.


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