Are you ready for an ICD-10 coding workout? The three most common diabetic manifestations, also known as diabetic triopathy, are nephropathy, retinopathy, and polyneuropathy. Can you code for these conditions in ICD-9 and ICD-10? Try coding for each diagnosis in both code sets before reading on to see the answers.
Code for these conditions as follows, says Sharon Molinari, RN, HCS-D, COS-C, a home health consultant based in Henderson, Nev.
Diabetic nephropathy
In ICD-9: 250.40 (Diabetes with renal manifestations; type II or unspecified type, not stated as uncontrolled) and 583.81 (Nephritis and nephropathy , not specified as acute or chronic, in diseases classified elsewhere).
In ICD-10: E11.21 (Type 2 diabetes mellitus with diabetic nephropathy).
Diabetic retinopathy
In ICD-9: 250.50 (Diabetes with ophthalmic manifestations; type II or unspecified type, not stated as uncontrolled) and 362.01 (Diabetic retinopathy NOS).
In ICD-10: E11.319 (Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema).
Diabetic polyneuropathy
In ICD-9: 250.60 (Diabetes with neurological manifestations; type II or unspecified type, not stated as uncontrolled) and 357.2 (Polyneuropathy in diabetes).
In ICD-10: E11.42 (Type 2 diabetes mellitus with diabetic polyneuropathy).