AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4; Ask the Editor

Diabetic Cataract

We have previously been extensively trained that the diabetic cataract is rare, and may occur with rapid onset in Type I diabetics. Coding Clinic for ICD-9-CM previously informed us that the type of cataract more commonly found in adult diabetic patients is the age-related cataract which is not classified as an ocular manifestation of diabetes. The new “With” guidelines instruct us to link any condition indented under the word “with” to diabetes. In this guideline, all cataracts in diabetic patients are diabetic cataracts. Is there a change in understanding of the pathophysiology of the diabetic cataract, and if so, are all cataracts in diabetic patients now considered diabetic cataracts? ...

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