Recently our clerical/biller/coding expert took a job elsewhere and in the meantime, myself and a clerical person have been handed the job of assuring the correct codes are on 485's.
HELP!!! WHAT ARE THE CORRECT CODES AND CATEGORIES FOR DIABETES? ARE THE FOLLOWING CORRECT?
*DIAB, TYPE I (juvenile onset)-controlled 250.01
*DIAB, TYPE I (juvenile onset)-uncontrolled 250.03
*DIAB, TYPE II - controlled 250.00
*DIAB, TYPE II - uncontrolled 250.02
-Does it not matter that they are insulin dependent or not???
-If they are insulin dependent do we consider that uncontrolled?
-If they were uncontrolled while inpatient and placed on insulin or an oral antidiabetic and sugars are now within range do we chart controlled or uncontrolled?????
-Can a person be considered Type I diabetic if they had adult onset and are on insulin?
I need a refresher course in endocrinology!!!!!
Feb 19, '03
Kids R Fun has posted great website. I've used it before. If you do not have a coding book in your office you should get one; if you have a book look at the introduction pages---explains how to code to higest degree of specificity.
This website also has easily understood introduction to coding:
OFFICIAL ICD-9-CM GUIDELINES FOR CODING AND REPORTING
In addiiton to coding for diabetes as above, when coding leg ulcers along with diabetes---if the leg ulcers are a result of diabetes you should code using 250.8X (plus 5th digit) ---or if due to diabetic neuropathy 250.7X. This will result in higher reimbursement and bring in an additional $2,000 to agency!
Know that codes are updated each October so need to check for latest codes:
2002 Updates to the ICD-9-CM Diagnosis Codes
Effective October 1, 2002
Taking a Closer Look at 2003 ICD-9-CM, DRG Changes
See if local hospital or community college offers coding course---cost would be ofset by improved reimbursement to your agency.
E Codes NOT used in homecare---rarely 800-999 codes (Injury and Poisioning).
Cancer DX are listed under Neoplasms---if unknown if tumor cancerous, use second column code.
Can also find codes commonly under: Complications, symptoms and deficiency.
Good luck---let us know if we can help.
Last edit by NRSKarenRN on Feb 19, '03