 Using proper combination codes with ICD-10By Aimee Wilcox, MA, CST, CCS-P
December 14, 2015 Enough time has passed since the implementation of ICD-10-CM that we are now able to identify some common errors being made in code selection, one of which is the lack of using proper combination codes. Many providers continue to report two codes when ICD-10-CM provides a single combination code. For example, when a patient with diabetes mellitus and polyneuropathy is seen, two codes are being reported to explain the diagnosis fully as:
E11.9 Type 2 diabetes mellitus without complications
G62.9 Polyneuropathy, unspecified
However, with the implementation of ICD-10-CM, many new combination codes were introduced, especially when reporting any type of diabetes associated with another disorder. The proper way to report this diagnosis using ICD-10-CM combination codes would be:
E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy
Type 2 diabetes mellitus with diabetic neuralgia
Take the time necessary to locate combination codes that should be reported to avoid potential denials after October 1, 2016, when the CMS leniency ruling will be terminated and providers will be required to report all ICD-10-CM codes to the highest specificity, accurately. Here are a few common combination codes that are new with ICD-10-CM.
I25.11 Atherosclerotic heart disease of native coronary artery with angina pectoris
E10.21 Type 1 diabetes mellitus with diabetic nephropathy
N30.01 Acute cystitis with hematuria
T39.011A Poisoning by aspirin, accidental (unintentional), initial encounter
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