Wiki Diabetic polyneuropathy and Diabetic autonomic neuropathy

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msjoy216

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Hi Coders,

Can Diabetic Neuropathy and Diabetic Autonomic Neuropathy both be reported together? There is nothing that states they can't, but Coding Clinic and other sources only reference coding whichever is stated in the note. Is there anyone who can shed some light on this?

Thanks,
Crys, CPC
 
Found this: sorry it doesn't clearly say you can code them together.

250.6X, Diabetes with Neurological manifestations
Peripheral, cranial and autonomic neuropathies are very common chronic manifestations of diabetes. For example, the codes for peripheral (or cranial) neuropathy are 250.6X and 357.2, Polyneuropathy in diabetes. For autonomic neuropathy assign 250.6X and 337.1, Peripheral autonomic neuropathy in disorders classified elsewhere.


http://www.capstoneperformancesystems.com/articles/diabetes-mellitus-coding-guidlines/
 
Coding Polyneuropahty and Autonomic Neuropathy

So if a provider stated the patient had Diabetic polyneuropathy and also Diabetic Autonomic neuropathy, would you apply both the codes as 250.6X, 357.2 and 337.1 along with the urinary incontinence code?
 
I don't have any hard evidence to back it up, but I would think you could code for both types.

Polyneuropathy refers to the peripheral nerves whereas autonomic neuropathy refers to the autonomic nerves and damage to the autonomic nervous system. It's very possible for a diabetic patient to have damage to both areas.
 
Reviewed The Merck Manual (20th ed., pp. 1260–1261) which makes it clear [to me, at least] that they are both distinct conditions which can manifest in the same diabetic.

You can code them both for the same patient, especially since there is no Excludes1 or Excludes2 for either code.
 
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