AHA Coding Clinic® for ICD-9 - 2009 Issue 2; Clarifications

Diabetes with Neuropathy

Previously published Coding Clinic advice instructed coders not to assume a causal relationship between diabetes and certain manifestations. The physician documentation should establish the relationship with terms such as “due to diabetes” or “diabetic.” However, recent advice published in Coding Clinic Third Quarter 2008, pages 5-6, is not consistent with this advice. Additionally, in ICD-9-CM’s Alphabetic Index, there is no entry for diabetes with neuropathy. Could you please clarify this new instruction? ...

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