AAPC - Back to school
Results 1 to 5 of 5

Thread: HELP! Diabetes coding

  1. #1
    Join Date
    Apr 2007
    Jamaica, NY

    Default HELP! Diabetes coding

    AAPC: Back to School

    I'm coding in a hospital outpatient setting, I'm new to diabetes coding and I'm seeing some confusing diabetes encounters.

    What is the correct way to use 250.8 Diabetes w/ other specified manifestations and 250.9 w/ unspecified complications?

    As I understand it, If the MD states that a diabetic type 2 pt is having hypoglycemic events then the appropriate code would be 250.80. I understand it as no other code is needed just the 250.80 but can this code be used for hyperglycemia as well?

    For example: If a pt has T2DM but also has hyperglycemia (not hypo) is it ok to use 250.80 and 790.29 (hyperglycemia)? Does "other specified manifestations" imply that it can be used with other conditions like hyperglycemia, hypercalcemia, etc.

    And regarding 250.9 Diabetes with unspecified complications: Sometimes a provider will diagnose pt as DM with complications and will describe those complications, such as: pt confused about meds, dosage, language barrier, poor insight into disease, or simply not compliant with instructions. Is it ok to use 250.9 in this case or is this wrong because the MD has actually specified the complications? If it is wrong, then what would be the correct code?

    Thanks to anyone who can give some insight...

  2. #2
    Join Date
    Apr 2007

    Default Diagnostic Coding Advice

    Hi nycoder,

    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
    Last edited by 007CPC; 09-30-2008 at 09:51 PM.

  3. #3


    Hyperglycemic events are considered an integral part of the disease process of diabetes. Diabetes is defined by hyperglycemia, and therefore, it is not normally coded as a complication.

    However, if the hyperglycemia is so severe that it is causing other complications then that would be classifiable to the condition. For instance, ketoacidosis would be coded as 250.3X. However, your garden variety episodes of hyperglycemia are considered "normal" for this disease and would not be coded.

    So if the record just indicates some hyperglycemia, but no actual complications then the diabetes would just be coded as 250.0X.

  4. #4
    Join Date
    Apr 2007
    Jamaica, NY


    ^^Thanks to both of you! Very informative responses. This forum is great. Thanks again.
    Last edited by nycoder; 10-01-2008 at 09:04 AM.

  5. #5


    so would this hold true for Hypoglycemia?

Similar Threads

  1. coding diabetes
    By mwould5450 in forum Diagnosis Coding
    Replies: 3
    Last Post: 10-16-2014, 05:15 AM
  2. diabetes coding
    By kjohnson in forum Diagnosis Coding
    Replies: 2
    Last Post: 10-18-2010, 08:26 PM
  3. Coding Diabetes
    By Debbie C in forum Auditing General Discussion
    Replies: 8
    Last Post: 09-17-2010, 08:03 PM
  4. coding diabetes
    By arizona1 in forum Diagnosis Coding
    Replies: 2
    Last Post: 08-10-2009, 07:47 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.