tci Part B Insider - 2008 Issue 16

READER QUESTION: 'With' Is Key for Diabetic Manifestations in Specific Conditions

Keep ICD-9 subterms in mind when reporting these conditionsQuestion: How should I code diabetic manifestations such as osteomyelitis? People in our office have different opinions, and I don't know who is correct. Answer: Coding manifestations and related conditions with diabetes mellitus can be confusing. The underlying principle for coding all diagnoses is to rely on physician documentation. This provides the basis for navigating the ICD-9-CM guidance. In the Alphabetic Index, the connecting word -with- is sequenced before other subterms. Look up -Diabetes- in the Alphabetic Index and note that, under the first subterm -with,- the manual lists specific...

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