![]() ![]() The 250 refers to diabetes mellitus the 5 indicates a For example, heres how diagnosis coding breaks down for a patient who has controlled Type 2 diabetes and has developed a diabetic cataract: 250.50 is the first diagnosis. The manifestation is a secondary diagnosis. If another medical condition is caused by diabetes, the diabetes must be coded first because it is the primary disease process. This clarifies that diabetes is the underlying cause. For example, for patients with a diabetic cataract, dont list just cataract. Before selecting a diagnosis code, make sure your patients medical record shows when a medical condition is a result of diabetes. Merely listing blood sugar levels is not enough. If this is the case, you should include the term uncontrolled or some comparable documentation note in the diagnosis portion of the record. Uncontrolled means that the current treatment regimen does not keep the patients blood sugar level within an acceptable range. Its also important to indicate in the patients chart whether the diabetes is controlled or uncontrolled. When documenting, record Type 1 or Type 2 diabetes rather than insulin dependent or non-insulin dependent. Coders and billers must have all this information to pick the right code. The fifth digit indicates the type of diabetes (1 or 2) and whether it is controlled or uncontrolled. The fourth digit identifies whether clinically significant manifestations exist and, if so, which body system is affected. The first three digits are the diagnostic code category 250, indicating diabetes mellitus. You have to document very specifically and consistently if you and your staff are going to choose the right one. ![]() There are nearly 40 ICD-9 codes for reporting diabetes disease processes. ![]()
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