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.
|Arthropathy||Hyperosmolarity||Ophthalmic Complication NEC|
|Autonomic (Poly)neuropathy||Hypoglycemia||Oral Complication NEC|
|Cataract||Kidney Complications NEC||Periodontal Disease|
|Chronic Kidney Disease||Kimmelsteil-Wilson Disease||Peripheral Angiopathy|
|Circulatory Complications NEC||Loss of Protective Sensation (LOPS)||Polyneuropathy|
|Dermatitis||Mononeuropathy||Renal Complications NEC|
|Foot Ulcer||Myasthenia||Renal Tubular Degeneration|
|Gastroparalysis||Nephropathy||Skin Complication NEC|
|Gastroparesis||Neuralgia||Skin Ulcer NEC|
|Intracapillary Glomerulonephrosis||Neurologic Complication NEC|
|Intercapillary Glomerulosclerosis||Neuropathic 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.