My inpatient coding class was going over this last night.
A coder should never assume the relationship between diabetes and another condition unless the provider substantiates the relationship ( coders are not doctors: quote from my inpatient instructor). Also, when assigning codes in the alphabetic index with subcategory digits, you really have to depend on the Alphabetic index and conventions to guide your code selection ( always verify code in tabular).
Just to resound the important element: never assume the relationship between two conditions/diseases. If the provider doesn’t document the relationship, there is one of two problems occurring: the patient is a train wreck, or, the provider needs to document better.
If you have anyother questions on sequencing, I would consult Kevin Shields
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join