tci ED Coding & Reimbursement Alert - 2008 Issue 3

Reader Questions: Remember to Note Every Diabetic Manifestation

Question: A patient with type II uncontrolled diabetes reports to the ED. During the course of a level-three E/M, the physician notes ophthalmic and circulatory diabetic manifestations, in the form of a cataract and angiopathy. What is the appropriate diagnosis coding for this visit? Montana Subscriber Answer: You don't have to choose which manifestation to report. Coders are free to report multiple manifestations for diabetic patients, and doing this will paint a more complete picture of the individual patient for the insurance company. However, make sure that for every ICD-9 code for diabetes with manifestation, you include a secondary...

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