Part B Insider (Multispecialty) Coding Alert

Beware:

Avoid These Diabetes Coding Pitfalls

When coding for diabetes, if you're listing the manifestation first, you're making a mistake. Here are four common errors you want to watch out for:

• Don't assume a cause and effect relationship. Make certain that the patient record indicates the relationship. If this isn't clear, query the physician before using a manifestation code.

• Never list the manifestation first. Report the related diabetes code before reporting the manifestation code.

• Never code 250.x with manifestations. Coding 250.x (Diabetes mellitus without mention of complication) indicates that there are no diabetic manifestations. If you code a patient with 250.0x and then see a listing of diabetic manifestations, go back and start over again with the corresponding diabetes code.

• Don't use 250.8x as a catch-all. When you have multiple manifestations that correspond to a variety of complications, don't lump them all under 250.8x (Diabetes with other specified manifestations). Instead, list each diabetes code preceding the corresponding manifestations.

Other Articles in this issue of

Part B Insider (Multispecialty) Coding Alert

View All