tci Medicare Compliance & Reimbursement - 2008 Issue 7

ICD-9 CODING: 3 Steps Keep Your Diabetic Neuropathy Coding Straight

Solve the 337.1-vs.-357.2 puzzle with this easy-to-reference guideYou're going to have to look at the patient's symptoms and history to assign polyneuropathy or autonomic neuropathy ICD-9 codes.When coding for a diabetic patient with diabetic neuropathy, "What is the difference between 337.1 (Peripheral autonomic neuropathy in disorders classified elsewhere) and 357.2 (Polyneuropathy in diabetes)?" asks Robert Jackson, MD, an internist at Dickson Medical Associates with 28 physicians in Tennessee. "I've called insurers, and the representatives say there's no difference in coverage."Impact: Using 337.1 or 357.2 comes down to meeting ICD-9...

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