Wiki Diabetes

[pjohnson@springfieldnephrology.com]

Can someone tell me what the difference between "inadequate control", "poorly controlled" and "out of control" are? I'm trying to train my physicians on ICD 10 and this was posed to me as a question.

Any help is appreciated. Thanks

 

[rlh27]

Instead of classifying as controlled or uncontrolled, ICD-10-CM classifies inadequately controlled, out of control, and poorly controlled diabetes mellitus by type with hyperglycemia. This article highlights key ICD-10-CM features for diabetes mellitus coding.

http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_049595.hcsp?dDocName=bok1_049595

 

[anne32]

We went over this in depth at an ICD-10 bootcamp presented by Optum. This is what they said,

"The concepts of "inadequately controlled", "poorly controlled", "out of control" in documentation should be interpreted as hyperglycemia, or better yet, documented as hyperglycemia and or state what the elevated blood sugar value is".

"True or False. If the provider documents that the patient's diabetes is out of control, you wont be able to get to the right diagnosis code in ICD-10.
-False. By documenting out of control, you would code diabetes with hyperglycemia."

Optum is very reputable and this is what they taught us and how we are coding in our office. Hopefully this helps!