Wiki Coding DM with EMR System

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opieleabo

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HELP....

My Doc codes all his notes himself and is using 250.8x instead of 250.0x because the ACO group he is apart of advised he do this. He is not listing a specific manifestation, his notes never specifically state due to diabetes, and when I ask he says anything can be a manifestation of DM. Should I be billing the 250.8x or sending the claim with 250.0x since there is no listed manifestation?

Thanks
 
he has to document the specific manifestation in his note in order to use that code. My guess is he is being told otherwise by the ACO for reporting purposes or meaningful use reporting possibly.... just a guess.
 
his assessment looks like:

250.80
278.01
401.1
272.4
530.81
443.9
next to each is the system description of the code, nothing else is listed or stated in his words. letting the EMR document the patients conditions.
 
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