AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 3; Ask the Editor

Diabetes Mellitus and Myasthenia Gravis

The patient has been diagnosed with myasthenia gravis and also with dialysis dependent end stage renal disease secondary to type 2 diabetes mellitus (DM). When following the Ind­ex to Diseases under DM with myasthenia, one arrives at code E11.44, Type 2 diabetes mellitus with diabetic amyotrophy. Does ICD-10-CM presume a relationship between DM and myasthenia gravis since the terms diabetes and myasthenia are linked by “with” in the Index? Research seems to indicate that myasthenia gravis and diabetic amyotrophy are separate conditions. How should this case be coded? ...

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