warrenfamily103@gmail.com
Networker
I'm hoping to gain some insight on coding for Diabetes with PVD. From working in the field, I've always been told that if a patient has Diabetic PVD, E11.51 not to submit the code for PVD alone, I73.9 because the Diabetic code covers it. Looking at the CMS mappings for E11.51, it shows HCC categories 18 and 108, showing that it is covering both as well. The confusion comes in when using the code book. when I look up the codes in the code book, I don't see an excludes note for either one stating they cannot be coded together. The only excludes 1 note that I see is for code I73.8_, other specified peripheral vascular diseases.....I appreciate any input on this, I want to be able to explain this to new coders if necessary.