Icd 9 Code For Diabetic Foot Infection

Icd 9 Code For Diabetic Foot Infection. Diabetes is a very serious sickness and destructive health issues. This post will provide you with many all forms of diabetes fully grasp and handle their issue.

alicia: q: [e/m with diabetes] “when codingsay an e/m encounter and the patient has type 2 diabetes documented in the medical recordbut the patient is not seeing the provider for her diabetes, is it still listed as adiagnosis?” a: this one i happen to know as a risk adjustmentpoint of view. i would tell you any time that a patient comesin that they have a chronic condition especially

diabetes that affects all the other body systems,you definitely are going to have it listed as a diagnosis. one of the things that the providers are strugglingwith these past few years is because they don’t do this.

let’s say we have a scenario which is reallyhard for us to find a scenario where diabetes isn’t pertinent. if a person comes in with, just say, a respiratoryinfection and it’s not that big of a deal but he prescribes antibiotic and let’s sayhe gives him a little bit of a steroid, it’s starting to get into the lungs. he may not list that the person is a diabetic;however, i look at it as a point of view, if he give a diabetic any type of steroid,it’s going to change their blood sugars. most usually, the provider will say, “forthe next week or the next two weeks, i want you to check your blood sugar twice a dayversus once a day or once a week and i want

to put you on a sliding scale just in casethe steroid affects your blood sugar,” etc., etc., etc. maybe the person isn’t necessarily on insulin,so they don’t have to do that. again, it’s probably going to be mentioned,so therefore, it’s listed as a diagnosis. now, the thing about it is, don’t thinkof it in the concept of being a coder for the provider on an individual encounter. yes, you can list it. that’s the answer to the question; but thinkof it for the risk adjustment aspect every time that patient comes in and they have achronic condition, it needs to be listed.

if the person comes in because they stubbedtheir toe and they’re diabetic, the doctor mentions that they’re diabetic, and becausethey stubbed their toe and healing... etc., etc., all the disease process for it. but the person also has copd. he’s not going to list the copd, he’snot there to see the copd. so, the traditional coder is saying, “ofcourse we don’t want him to list copd because it has nothing to do about this encounter.” but actually it does for a risk adjustmentpurpose: every time that patient sees a cms-approved provider face-to-face, every single chroniccondition needs to be listed.

are you going to use it to substantiate acpt code? no. however, you want that risk adjustment coderto be able to say, “look, he has copd and he’s on three inhalers and...” the physician doesn’t have to address it,but you have to have the fact that the chronic condition is listed and i’ve got a line,i’m showing he’s actively being treated by inhalers. so, even if this patient came in for a stubbedtoe, i got to collect an hcc for dm and copd. so, my answer is, always list them.

it doesn’t have to be pertinent to gettingpaid. you don’t get paid for regular coding ondiagnosis coding, you get paid on cpt, so it’s ok to list it. is that what you would say, chandra, or wouldthis change? chandra: i’m going to tweak what you saidjust a little bit. i absolutely agree, especially for diabetes,you’re hard pressed to find an example where the patient comes in for some other conditionand the diabetes is not pertinent. most providers aren’t familiar with riskadjustment and i say that depending on what part of the country you work in.

i know when i worked in california all thephysicians i worked with were risk adjustment, they knew it inside and out. in indiana, they look at me like i’m nutswhen i start talking about risk adjustment because it’s just a very small portion ofour population. but from a coding perspective, as a physiciancoder day in and day out, if the provider indicated that a patient came in for an evaluationand management encounter and they were also a diabetic, if that diabetes was potentiallygoing to play a role...i’ll give you an example, a patient comes in, they are followingup on a surgery that they’ve had, and, oh by the way, they’re a diabetic.

oh, wow! we want to know they’re a diabetic becauseit’s going to affect their healing rate and all of that. the physician doesn’t have to be activelytreating their diabetes, but the diabetes may have just come into play in the thoughtprocess. that needs to be taken into account becausethere was more medical decision making done around that diabetic encounter, but the documentationhas to substantiate it. that’s not to say that it has to have somedrawn-out, the patient has diabetes... but it needs to indicate they’re diabeticsomewhere, whether it’s the past medical

history, hopefully it’s the assessment thatthey’ve indicated they’re diabetic, it’s being followed by so-and-so. if they’re on a medication, they need todo a medication reconciliation to identify that not only do i know they’re diabetic,i know what medication they’re on.

Icd 9 Code For Diabetic Foot Infection,hopefully in the assessment they’ve said,“oh, by the way, here’s who is treating that, here’s who is managing that.” that’s your best documentation to supportany kind of audit, whether it be risk adjustment or fee-for-service auditing.

Now that you understand how to handle your trouble, you are far better prepared to make the right selections and modifications in your own life. Take into account that these guidelines will only be appropriate if you use as most of them as possible, and so you need to start off now to see timely effects.