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DM with manifestations - assessment?

  1. Cool DM with manifestations - assessment?
    Medical Coding Books
    If a provider appends a dx of, let's say, DM 2 with CKD 3, and then in the body of the note specifically addresses only the DM 2 (i.e., "DM 2 under good control with current medications"), is it acceptable consider the CKD has also been addressed? Said another way, if a provider assesses the status of DM which is associated with manifestations, are the manifestations also being assessed? And does anyone know of any official guidance on this topic?

  2. #2
    Columbia, MO
    Does he say DM 2 WITH CKD3 ? If he does not in some way relate these two then the CKD is not a manifestation of the DM. So if he in fact states it this way the I do assume both were addressed.

    Debra A. Mitchell, MSPH, CPC-H

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