Diabetes Mellitus & Associated Complications


Diabetic Instruments

Diabetes mellitus, the most common and familiar metabolic disease prevalent across the globe, is a chronic condition that makes the patients more vulnerable to other diseases and conditions with many complications arising at a later stage of life.  It has always been a challenge among the coders with regards to coding Diabetes mellitus and its complications, and discerning as to whether the complication is indeed related to diabetes or not.  From a medical coding services perspective, lack of awareness of the assumed relation between diabetes and associated conditions typically leads to medical coding errors.  Let’s put an end to all of the misconceptions associated with Diabetes mellitus and related complications, making coding more accurate and hassle-free. Many times, the documentation in the medical records do not clearly establish a relationship between Diabetes mellitus and complications, and due to the lack of awareness of assumed condition coders end up coding the conditions independently.  There has also been a dilemma in the medical coding world when coding diabetes and assumed conditions.  As per the AHA Coding Clinic update in the first quarter of 2016, if the medical record has any of the below lists of frequent complications, coders can assume them to be Diabetes mellitus and complications and can go ahead and give a combination code.

ArthropathyHyperosmolarityOphthalmic Complication NEC
Autonomic (Poly)neuropathyHypoglycemiaOral Complication NEC
CataractKidney Complications NECPeriodontal Disease
Chronic Kidney DiseaseKimmelsteil-Wilson DiseasePeripheral Angiopathy
Circulatory Complications NECLoss of Protective Sensation (LOPS)Polyneuropathy
DermatitisMononeuropathyRenal Complications NEC
Foot UlcerMyastheniaRenal Tubular Degeneration
GangreneNecrobiosis LipoidicaRetinopathy
GastroparalysisNephropathySkin Complication NEC
GastroparesisNeuralgiaSkin Ulcer NEC
Intracapillary GlomerulonephrosisNeurologic Complication NEC
Intercapillary GlomerulosclerosisNeuropathic Arthropathy

References: AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS, First Quarter 2016 AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS, Fourth Quarter 2016 ICD-10-CM Official Guidelines for Coding and Reporting FY 2018*This article is to help coders improve their knowledge and awareness. Although the article is accurate at the time of publication, coders are requested to refer official guidelines as there are frequent changes.

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