Results 1 to 5 of 5

post transplant diabetes mellitus

  1. Default post transplant diabetes mellitus
    Exam Training Packages
    If you have a pt with PTDM do you code it as a complication of the transplant? Snd is the diabetes secondary? Not sure what to do here.

  2. #2
    If that is all the information the physician documented, you need to go back and ask for more. What is the transplanted organ? Did the patient have DM before the transplant? IF the transplanted organ is the pancreas, is the pancreas producing insulin but the body is not absorbing it? Is the patient rejecting the transplant? Is the pancreas not producing insulin and then the doctor is stating the transplant has failed? A condition as multi-faceted as this needs more information provided to make the correct coding assignment.

  3. Default
    It was a kidney transplant and they did not have DM prior to the transplant, and there is no mention of rejection.

  4. #4
    I have not found one definitive cause for PTDM; various factors could be age, ethnicity, deceased donor, obesity and/or drug use. Without the link as to WHAT caused the complication, I'd be learly of assigning a complication code based on the guidelines for 996.81 (Complication of transplanted organ, kidney). However, PTDM is considered a secondary DM because of an event (the transplant) that caused the onset, so a code from 249.xx would be appropriate.

  5. Default
    Ok that makes perfect sense. Thanks for your help.

Similar Threads

  1. Proteinuria due to type 2 diabetes mellitus
    By Randalld in forum ICD-10
    Replies: 1
    Last Post: 10-26-2015, 01:26 PM
  2. diabetes dx after transplant
    By aliceannie in forum Diagnosis Coding
    Replies: 0
    Last Post: 04-21-2014, 03:54 PM
  3. Icd 10 dx diabetes mellitus
    By amb1974 in forum Ophthalmology/Optometry
    Replies: 1
    Last Post: 01-11-2014, 12:58 AM
  4. Uncontrolled type II diabetes mellitus.
    By ldotman in forum Diagnosis Coding
    Replies: 5
    Last Post: 05-25-2011, 05:37 PM
  5. Dx code: Brittle DM (Diabetes Mellitus)
    By Tonyj in forum Diagnosis Coding
    Replies: 2
    Last Post: 10-12-2010, 11:02 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.

Get OurFREE2017SalarySurvey.

We'll email you a link to our 2017 Healthcare Salary Survey when it is available so you can see your earning potential.