DM2 and hypertensive retinopathy

BrendaBrenda
edited April 2017 in Home Care Coding General
If patient has both hypertensive retinopathy and a dx of DM2, should I only code the hypertensive retinopathy? I wouldn't need to code also DM2 with retinopathy?

Brenda Hoss
Coder

Comments

  • danielle.stevens@essentiahealth.orgdanielle.stevens@essentiahealth.org
    edited April 2017
    I would think you can still assume the DM/retinopathy since its under "with" in Alpha it's a more specific code than E11.9?
  • BrendaBrenda
    edited April 2017
    I can't decide if because we know the patient's retinopathy is due to the hypertension, would I still add dm2 with retinopathy?


    Brenda Hoss
    Coder
  • Unknown
    edited April 2017
    If the cause of the Retinopathy is known, then you will not assume a relationship with DM. We have a definitive diagnosis linking the 2 together.

    Thank you,

    Lourdes Richardson, BCHH-C ICD-10, HCS-D-10
    Tampa Coder
    9325 Bay Plaza Blvd. Suite 209
    Tampa, Fl 33619
    813-501-1570 Ext.12402
    Lrichardson@fhhs.us
  • cbrunk@totalhh.comcbrunk@totalhh.com
    edited April 2017
    Yes

    Priscilla Brunk RN, HCS-D
    Corporate Coder
    Cell: 772-284-1185
    Fax: 954-962-2667
  • Unknown
    edited April 2017
    This is from the Ahima website...

    An important thing to remember is that if the physician documentation specifies that diabetes mellitus is not the underlying cause of the other condition, then the condition should not be coded as a diabetic complication. With this in mind the entire record needs to be reviewed. After reviewing the entire record, if it is not clear whether or not two conditions are related, the provider should be queried. Multiple examples of cases in which a query is necessary were published with an article in the February 2013 issue of Journal of AHIMA can be reviewed in AHIMA's online HIM Body of Knowledge at http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_050018.hcsp?dDocName=bok1_050018.


    Thank you,
    Lourdes Richardson, BCHH-C ICD-10, HCS-D-10
    Tampa Coder
    9325 Bay Plaza Blvd. Suite 209
    Tampa, Fl 33619
    813-501-1570 Ext.12402
    Lrichardson@fhhs.us
  • Unknown
    edited April 2017
    I believe you do because there is a cause and effect relationship between
    diabetes and retinopathy.
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