tci ED Coding & Reimbursement Alert - 2020 Issue Q3

Reader Questions: Identify How to Code 'Unstable' Diabetes

Question: Our provider documented that a type 2 diabetic patient’s condition was “unstable” but “improving,” as his HbA1c level had fallen to 8.8 from 9.2. One of my colleagues believes I should code this as type 2 with complications because of the provider’s use of the word “unstable,” but I am reluctant to do that or to code something like E11.65. What would be the best code to use in this scenario? Kansas Subscriber Answer: In a sense, all patients with diabetes have unstable hemoglobin levels, which can be...

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