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Diabetes
What is code for dm in uti? have to follow E11.69 or E11.29?
OCT’S on patients with diabetes
Jennifer Rogers
Berg Eye Group
[email protected]
diabetes 2 with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma
Denial for Dexcom Diabetes Supples Insurance BCBS
Diabetes with CAD
Thank you in advance.
Brenda Sue
Coding for Diabetes with A1C results
Thank you
Assumed relationships with Diabetes
Guideline Hypertension, CKD, CHF and Diabetes Mellitus
Discussion
Assessment plan:
Diabetes with CKD-3
Hypertension
Code:
E11.22
N18.3
I10
Rationale/opion given is that the physician has linked the DM and CKD utilizing the word "with" and coding guideline for "with" should be interpreted as "associated or due to"
Similar question
Diagnosis
Diabetes with CKD-3
Hypertension
Chronic diastolic CHF
Code:
E11.22
N18.3
I11.0
I50.32
So is this the correct interpreration of the guidelines as opposed to coding?
I12.9 on the first one.
I13.0 on the second one
Thanks for the help
Coding I70.203 with Diabetes
Documenting PVD in ICD 10
The last six months of ICD 10 implementation has brought about many new challenges and learning opportunities for both providers and coding professionals. One such opportunity is the documentation of peripheral vascular disease (PVD). Documenting PVD without further specificity in ICD-10 codes to I73.9, Peripheral Vascular Disease, Unspecified.
In order to document most specifically for PVD, its important to include these components in your documentation:
Location of vein/artery affected
Whether the vein/artery is native or a graft (and type of graft if known)
Complications such as intermittent claudication, ulceration or rest pain
Liberality (left, right, or bilateral) and specify if one or both sides are affected by complicating conditions of atherosclerosis.
An example of best practice documentation for PVD without complication would be: Patient has atherosclerosis of native artery bilateral lower extremities without ulceration or claudication. This documentation would result in code I70.203, Unspecified atherosclerosis of native arteries of extremities, bilateral legs. This is a more specific code than I73.9, reflecting more specific documentation, which is more clinically relevant.
To document a more complicated case of PVD, one could document: Patient has atherosclerosis of native artery of right lower extremity with rest pain. This documentation would result in code I70.221, which is very specific and includes the complication of rest pain. A briefer method, such as PAD d/t atherosclerosis of native artery RLE with resting pain would also code to I70.221.
Many providers may prefer to continue documenting with the term PAD or even PVD. Our recommendation is to document PAD due to atherosclerosis, because including the term atherosclerosis allows coders to capture the more specific codes, when the condition is caused by the atherosclerotic process, as most arterial disease is.
Thanks again for any help you can provide.