tci ED Coding & Reimbursement Alert - 2004 Issue 5

Watch for 5 Complications When Coding Diabetes

Don't get tripped up on multiple conditions Each time you choose a fourth and fifth digit for diabetes diagnosis code 250.xx, you may also need to select the appropriate code to identify the patient's specific diabetic manifestation. Although the ICD-9 manual lists several possible manifestation code choices below each fourth-digit descriptor, you should realize that this is "definitely not an exhaustive list," says Alison Nicklas, RHIT, CCS, director of education and training for Precyse Solutions, based in King of Prussia, Pa. For example, the ICD-9 manual lists 583.81 (Nephropathy) and 581.81 (Nephrosis) as possible manifestation...

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