Secondary Diabetes

How should diabetic gastroparesis documented as due to or with steroid-induced diabetes due to the prolonged use of corticosteroids for an unrelated condition be coded? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews the ICD-9-CM guidance for secondary diabetes and the related category structure added effective October 1, 2008. It is useful for coding professionals who need to understand how this topic is organized, what manifestation groupings are addressed, and where official guidance and sequencing references are cited. The article also discusses related endocrine, renal, ophthalmic, neurologic, circulatory, and other associated manifestations in a general coding-update context.

Why This Topic Matters

Secondary diabetes can require different classification and supporting documentation than primary diabetes. This article helps coders, auditors, and compliance staff understand the scope of the ICD-9-CM category and recognize when related guidance or companion codes may be referenced.

Article Sections

  1. Overview of secondary diabetes and category 249

    Introduces secondary diabetes, its general prevalence context, and the ICD-9-CM category structure added for this topic. Also notes the relationship to the broader diabetes classification framework.

  2. Category structure, included conditions, and exclusions

    Summarizes the category setup, fifth-digit reporting, and broad inclusion and exclusion concepts tied to this diagnosis group. References supporting official guidance and related coding resources are mentioned here.

  3. Subcategory listing for associated manifestations

    Outlines the subcategory organization for secondary diabetes across complication groupings such as renal, ophthalmic, neurologic, circulatory, and other specified manifestations. The section presents the general structure of the tabular classification without detailing selection logic.

  4. Coding Clinic example on steroid-induced secondary diabetes

    Presents a clinical coding question-and-answer example involving a secondary diabetes scenario and related companion coding references. The section illustrates how the issue is discussed in a coding education context.

What You Will Learn

  • How secondary diabetes is organized within the ICD-9-CM category structure
  • Which broad manifestation groupings are associated with the category
  • What general exclusions and related references are mentioned
  • How a coding education example is presented in the article

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance professionals
  • Clinical documentation specialists
  • Revenue cycle staff

Codes Discussed

Code Ranges Discussed

  • ICD-9-CM: 249.0-249.9
  • ICD-9-CM: 249.1-249.9
  • ICD-9-CM: 249.4-249.9
  • ICD-9-CM: 249.2
  • ICD-9-CM: 249.5
  • ICD-9-CM: 249.6
  • ICD-9-CM: 249.7
  • ICD-9-CM: 249.8
  • ICD-9-CM: 249.9
  • ICD-9-CM: 585.1-585.9
  • ICD-9-CM: 369.00-369.9
  • ICD-9-CM: 362.01-362.07
  • ICD-9-CM: 354.0-355.9
  • ICD-9-CM: 707.10-707.9

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