HCC Blog by Caridad

From the AAPC regarding the ICD-10 Delay: May 8th, 2014 Keep Calm and ICD-10 On “The Secretary of Health and Human Services may  not, prior to October 1, 2015, adopt ICD-10 code sets as the standard for code sets under section 1173(c) of the Social Security Act (42 U.S.C. 1320d-2(c)) and section 162.1002 of title 45, code of Federal Regulations.” That was the sentence in the Protecting Access to Medicare Act that has caused such a ruckus. Now what? Coders:  If you do not have a clinical background, take an Anatomy and Pathophysiology course. It will assist with understanding the signs/symptoms/manifestations of multiple conditions. This may allow for proper code assignment without as many queries to the providers. Obtaining education on the code set can allow for understanding of how ICD-9-CM differs from ICD-10-CM. This can allow for assessing how much training may be necessary for the practice or facility to get them ready for ICD-10. Coders that have received ICD-10 tra

Type 2 Diabetes Mellitus with Renal Manifestations Use additional code to identify any insulin use (Z79.4) ICD-9     250.40 Diabetes with renal manifestations type II not stated as uncontrolled ICD-10   E11.2_ Type 2 diabetes mellitus with                E11.21 … diabetic neuropathy E11.22 … diabetic chronic kidney disease                      Use additional code to identify stage of chronic kidney disease (N18.1-N18.6) E11.29 …. other diabetic kidney complications ICD-10  E13 Other specified diabetes mellitus             Diabetes mellitus due to genetic defects of beta-cell function Diabetes mellitus due to genetic defects in insuling action Postpancreatectomy diabetes mellitus Postprocedural diabetes mellitus Secondary diabetes mellitus NEC Use additional code to identify any insulin use (Z79.4)              E13.2_ Other specified diabetes mellitus with E13.21 …. diabetic nephropathy E13.22 …. diabetic chronic kidney disease Use add

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ICD-10 4. Chapter 4: Endocrine, Nutritional, and Metabolic Diseases (E00-E89) a.   Diabetes mellitus The diabetes mellitus codes are combination codes that include the type of diabetes mellitus, the body system affected, and the complications affecting that body system. As many codes within a particular category as are necessary to describe all of the complications of the disease may be used. They should be sequenced based on the reason for a particular encounter. Assign as many codes from categories E08 – E13 as needed to identify all of the associated conditions that the patient has. 1) Type of diabetes The age of a patient is not the sole determining factor, though most type 1 diabetics develop the condition before reaching puberty. For this reason type 1 diabetes mellitus is also referred to as juvenile diabetes. 2) Type of diabetes mellitus not documented If the type of diabetes mellitus is not documented in the medical record the default is E11.-, Typ