tci Part B Insider - 2006 Issue 2

INTERNAL MEDICINE: You Be The Coder

Catch These Diabetes Manifestation Coding CluesQuestion: An internist’s documentation states, “DM complicated by neuropathy.” Should I assign 250.60? Illinois SubscriberAnswer: If the patient has type II diabetes--or an unspecified type--and the internist did not state that the patient’s diabetes was uncontrolled, you should classify diabetes mellitus (DM) with neurological manifestations as 250.60 (Diabetes with neurological manifestations; type II or unspecified type, not stated as uncontrolled). Next step: Diabetes manifestation codes 250.4x-250.7x require an additional code to identify the diabetic manifestation, according to CPT’s notes following each four-digit code entry. Therefore...

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