The insertion of the word "STABLE'' by the Physician, in his documentation does really give significance in the patients status of being normal for him at this juncture/encounter.
The follow up code could have a better place depending upon the encounter.
But as regards the code from 251.x or 790 series, i think we could ponder a little more
(having gone so far in this scenario)!! O.K?. Then , here we go:
Stable hypo blood sugar or bold sugar hypolevel but stable; Isin‚Äôt yet another way of placing it too?
Physicians at some point or as a research, while treating diabetic patients for intensive diabetes management, at times, have a need to know whether the patient‚Äôs glycemic level is stable (without risk or not with much significance) or at risk of detrimental condition.
In such study, they want to know whether significant reduction in hypoglycemia was achieved (or not) without apparent deterioration of over all glycemia. Then after many tests/series of these hyposugar levels, they arrive at a status of hypo glucose level which is STABLE (after series of study) OR a status of Hypo glucose level which is detrimental or significant so much so that that status is not good for his health to keep going with that hypolevel.
In the hypo and hyperlevels of glucose, take for eg, the hypolevel of glucose - that there is (a) a base level of blood hyop-gulucose which could be construded by the Physician as stable for that particular patient so that the treatment can be continued safelytill his next decision;
(b) and there is detrimental or significant level of hypo sugar, which is not good to go on with and it is absolutely mandatory to reduce the treatment drug to a lower dose, so as to keep him/her in an optimal level or stable level.
The Physician gets some time to watch over such patients who are stable and watch over with the same dose of management, and, intervene when it is appropriate to change the treatment dosage or modality.
My point to present here is, in our coding component, I feel that this documentation, ‚ÄúStable‚ÄĚ hypo glucose /low sugar level is optimal or consistently tolerable /acceptable for this particular patient which keep him/her in stable condition and NOT a deseased condition, meaning it is not significant or detrimental to consider for an intervention with different treatment modality/dosage.
A STABLE HYPOGLUCOSE LEVEL for this particular patient at this encounter- which is not a deseased/detrimental hyposugar level.
So, I would not go for 251.2 which depicts an abnormal condition to be addressed with
I would prefer yet 790.2 for abnormal glucose NOS. (though the 790.2 main category says to exclude hypoglycemia.) Could it be or not?
Well, we do not consider this 251.2, as per our opinion, at all for our scenario, then we can very well think about the abnormal glucose NOS 790.2x, by all means, by eliminating the "exclusion" statement in 790.2 and boldly give 790.29
It is only just a suggestion and for research not conclusive statement, regarding some situations of ‚Äėmedical Fix‚Äôlike this‚Ä¶ . However, It is for your decision.
Thank you for patiently listening.
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