tci ED Coding & Reimbursement Alert - 2023 Issue Q4

Reader Questions: Remember 7th Character on This Diabetes Dx

Question: I’m having a little trouble with the abbreviations on an encounter note. What ICD-10 code should I select when encounter notes indicate that a patient suffers from “type 2 DM w/mild, nonprolif. Retinopathy + mac edema”? Connecticut Subscriber Answer: The ICD-10 for the condition that is shorthanded into the notes is E11.321- (Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema). Don’t stop there: There are instructions to report this code to the 7th character to indicate laterality; use one of the following characters to fill out the ICD-10 code: 1...

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