Hi Jwilkes,:) The beh health patient will be referred to substance abuse treatment center or inpatient status facility by a LCSW, LPC or Psychiatrists or MD provider family doc or EMR doc. They have t... [ Read More ]
[I]Hi Tewisdom:) It could be well are you the selecting the right diagnosis codes reflecting the documentation(most Z codes should be last unless designated first listed Z dx codes)? As example Z74 bl... [ Read More ]
[QUOTE="scauleycpc, post: 418130, member: 6578"] [B]Retinopathy Screening[/B] I too am at an FQHC. We are considering doing the retinopathy screening. Which code works for you when billing for the ... [ Read More ]
Hi Gator:) This is basically true what you learned. But keep in mind some dx codes per ICD10 manual directions and audit process/algorithms in the Encoder program will tell you to put another dx as f... [ Read More ]
[QUOTE="terribrown, post: 448674, member: 108500"] We had a similar question that we sent to Coding Clinic. "Hypertension due to diabetes" would be coded as E11.59 and I15.2. Advice is below: [ATTACH... [ Read More ]
[QUOTE="angelalhale, post: 514441, member: 173105"] When coding Diabetes with PVD or PAD, code E11.51, do you also code I70.2- and I73.-? My coworkers and I are having trouble finding any guidelines f... [ Read More ]
When coding Diabetes with PVD or PAD, code E11.51, do you also code I70.2- and I73.-? My coworkers and I are having trouble finding any guidelines for this. thanks... [ Read More ]
[QUOTE="angelalhale, post: 513921, member: 173105"] If the provider has documented all three conditions, Diabetes Type 2, HTN and CKD stage 3a would you use I12.9 AND E11.22? I wasn't sure if I could ... [ Read More ]
If the provider has documented all three conditions, Diabetes Type 2, HTN and CKD stage 3a would you use I12.9 AND E11.22? I wasn't sure if I could code those both for the CKD. Thanks... [ Read More ]
Hi Yes you can bill both together but the catch is are the providers discussing(documenting) the ongoing chronic medical illness and the BH services on the treatment for the day?. Then you would lin... [ Read More ]
Hi Jwilkes,:) The beh health patient will be referred to substance abuse treatment center or inpatient status facility by a LCSW, LPC or Psychiatrists or MD provider family doc or EMR doc. They have t... [ Read More ]
[I]Hi Tewisdom:) It could be well are you the selecting the right diagnosis codes reflecting the documentation(most Z codes should be last unless designated first listed Z dx codes)? As example Z74 bl... [ Read More ]
[QUOTE="scauleycpc, post: 418130, member: 6578"] [B]Retinopathy Screening[/B] I too am at an FQHC. We are considering doing the retinopathy screening. Which code works for you when billing for the ... [ Read More ]
Hi Gator:) This is basically true what you learned. But keep in mind some dx codes per ICD10 manual directions and audit process/algorithms in the Encoder program will tell you to put another dx as f... [ Read More ]
[QUOTE="terribrown, post: 448674, member: 108500"] We had a similar question that we sent to Coding Clinic. "Hypertension due to diabetes" would be coded as E11.59 and I15.2. Advice is below: [ATTACH... [ Read More ]
[QUOTE="angelalhale, post: 514441, member: 173105"] When coding Diabetes with PVD or PAD, code E11.51, do you also code I70.2- and I73.-? My coworkers and I are having trouble finding any guidelines f... [ Read More ]
When coding Diabetes with PVD or PAD, code E11.51, do you also code I70.2- and I73.-? My coworkers and I are having trouble finding any guidelines for this. thanks... [ Read More ]
[QUOTE="angelalhale, post: 513921, member: 173105"] If the provider has documented all three conditions, Diabetes Type 2, HTN and CKD stage 3a would you use I12.9 AND E11.22? I wasn't sure if I could ... [ Read More ]
If the provider has documented all three conditions, Diabetes Type 2, HTN and CKD stage 3a would you use I12.9 AND E11.22? I wasn't sure if I could code those both for the CKD. Thanks... [ Read More ]
Hi Yes you can bill both together but the catch is are the providers discussing(documenting) the ongoing chronic medical illness and the BH services on the treatment for the day?. Then you would lin... [ Read More ]
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Coding Type 2 Diabetes Mellitus with Peripheral Neuropathy
Published on
Tuesday, June 2, 2020
Q:
How do you code Type 2 Diabetes Mellitus with Peripheral Neuropathy? Is Polyneuropathy the same as Peripheral Neuropathy in Diabetes?
A:
Yes. According to the ICD-10-CM Code Book, Type 2 Diabetes Mellitus with Peripheral Neuropathy codes to Type 2 Diabetes Mellitus with Polyneuropathy (E11.42). Let’s follow the alphabetic index:
Neuropathy
peripheral (nerve) (see also Polyneuropathy) G62.9
In order to capture Diabetes Mellitus, we need to ‘see also Polyneuropathy’.
Polyneuropathy (peripheral) G62.9
Notice that (peripheral) is a modifier for polyneuropathy
diabetic - see Diabetes, polyneuropathy
When we ‘see Diabetes, polyneuropathy’, it takes us to:
Diabetes, diabetic; due to underlying condition; with; polyneuropathy E08.42
Under the code category for E08, there is an Excludes1 note for several conditions, including type 2 diabetes mellitus.
type 2 diabetes mellitus (E11.-)
Go to E11 Type 2 diabetes mellitus
E11.4 Type 2 diabetes mellitus with neurological complications
E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy
Polyneuropathy means multiple nerve damage is causing peripheral neuropathy. These are the nerves that connect your spinal cord to the rest of your body. Both these terms are often used at the same time and generally mean the same thing.
References
ICD-10-CM Official Code Set
//www.empowher.com/community/ask/what-difference-between-peripheral-neuropathy-and-poly-neuropathy
Article
Author: Susie James, RHIT, CCS
Susie James, RHIT, CCS, is the Manager of Inpatient Coding Services at MMP, Inc. Susie has worked in the coding field for over 30 years and has worked as a coder, coding supervisor, and corporate coding manager for a large multi-facility system in Birmingham. She also worked for Alabama Quality Assurance Foundation (AQAF) as a coding reviewer/auditor before joining the team at Medical Management Plus, Inc. Susie has previously served as the President of the Alabama Association of Health Information Management (AAHIM) on the Board of Directors and currently serves as the Education/Coding Roundtable Chair. She is also a member of the American Health Information Management Association (AHIMA) and has previously served as the Co-chair for AHIMA's Leadership Team. She also served as a facilitator at AHIMA's 85th National Convention in Atlanta Georgia.
This material was compiled to share information. MMP, Inc. is not offering legal advice. Every reasonable effort has been taken to ensure the information is accurate and useful.