tci Medicare Compliance & Reimbursement - 2004 Issue 29

DIABETES: Streamline Your Diabetes Reporting With New Codes

"Insulin-dependent" distinctions are no more Providers may find it easier to assign diabetes ICD-9 codes (250-250.9) now that beta cell function drives your determination of both type I and type II diabetes. To take advantage of the new codes, a physician should determine how well a patient's pancreatic beta cells function to distinguish between the diabetes codes' fifth digits, says Beth Fisher, medical systems specialist with the National Center for Health Statistics in Hyattsville, MD. Physicians now use insulin and non-insulin designations to determine whether patients have type I or type II diabetes -- but the problem with...

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