AHA Coding Clinic® for ICD-9 - 2009 Issue 4; Ask the Editor
Diabetes with Loss of Protective Sensation (LOPS)
The provider's documentation indicates diabetes mellitus type II and loss of protective sensation (LOPS). Can the coder assume that the LOPS is due to diabetic neuropathy and therefore assign diabetic complication codes? Should code 782.0 be assigned for the numbness? ...
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Article Overview
This article explains coding guidance for diabetes documentation that includes loss of protective sensation (LOPS) and related sensory findings. It is aimed at coders reviewing diabetes-related neurological documentation and covers the broader question of whether a separate sensation code is needed. The discussion focuses on how the topic is categorized within diabetes complication coding and the general rationale behind the coding approach.
Why This Topic Matters
Accurate interpretation of diabetes-related sensory documentation affects code selection and the representation of complication status in the record. The article helps coders understand how this clinical wording is handled within diabetes coding.
What You Will Learn
- How diabetes documentation involving loss of protective sensation is addressed in coding guidance.
- How sensory complaints related to diabetes are discussed in the context of complication coding.
- When separate sensation-related coding is or is not considered in this topic area.
- intended_audiences":["Medical coders","Coding auditors","Clinical documentation specialists"],"topics":["Diabetes documentation","Loss of protective sensation","Diabetic neuropathy","Sensory disturbance","Complication coding"],"medical_specialties":["Endocrinology","Neurology","Podiatry"],"code_sets":["ICD-9-CM"],"codes":[{"code_set":"ICD-9-CM","code":"250.6x"},{"code_set":"ICD-9-CM","code":"357.2"},{"code_set":"ICD-9-CM","code":"782.0"}],"code_ranges":[],"modifiers":[],"content_type":"coding guidance article","effective_dates":[],"organizations_mentioned":[],"keywords":["diabetes mellitus type II","LOPS","loss of protective sensation","diabetic neuropathy","neurological manifestations"],"questions_answered":["How is diabetes with loss of protective sensation discussed in coding guidance?","What related diabetes complication coding topic does this article address?","Is a separate sensation-related code discussed for this scenario?"],"access_description":"Public, non-disclosing profile for a premium coding guidance article on diabetes-related loss of protective sensation.","disclosure_check":{"contains_code_descriptions":false,"contains_modifier_descriptions":false,"contains_actionable_coding_instructions":false,"contains_article_conclusions":false,"contains_detailed_examples":false}}}
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
Codes Discussed
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