Diabetes

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Diabetes

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Category/Organ System:	Category: Endocrine (old)
Type:	Medical Problem
Main Diagnosis:	Diabetes
Sub Diagnosis:	30087 Diabetes-Mild 30088 Diabetes-Moderate 30089 Diabetes-Severe
Diagnosis Code:	31400
Comorbid Diagnosis:	Only
Charlson Comorbid coding (pre ICD10):	0
Program:
Status:

Diabetes can be coded only as a comorbid code.

We do not code newly diagnosed diabetes melitus

Mild-If treated with insulin or oral hypoglycemics,we do not code diet only controlled DM.

Moderate-Previous hospitalization for Diabetes(DKA,Hyperosmolar coma)

Severe-Complications of neuropathy,retinopathy, or nephropathies or all.

patient newly diagnosed with diabetes

(as moved from Diabetic Ketoacidosis) We don't code new diagnosis as comorbids until the next hospital admission, and there is no diagnosis code for diabetes. New diabetes can be coded as Other Endocrine Problems. ===I was under the impression that Dr Roberts did want us to code some new diagnosis under comorbs. For example, if a newly admitted pt with no past medical history goes for a CT scan and they find cancer in the bowel and the liver, I was under the impression that we were to put bowel and liver cancer in the comorbid category, as well as the diagnosis category. Is this incorrect? If I am correct then why would we not code diabetes in the comorbs for the above scenario? If I am correct, does this apply to all 'new' diagnoses or just some?=== Jthiessen 08:33, 2014 September 5 (CDT)