Diabetes and Diabetic Condition Coding in ICD-10-CM Course

Description

In this comprehensive course, participants will gain a thorough understanding of medical coding for various types of diabetes and their associated complications. The course places a strong emphasis on proper sequencing techniques, ensuring that coders can effectively utilize the ICD-10-CM index. Topics covered include an introduction to diabetes, coding for different types of diabetes, diabetes sequencing, managing uncontrolled and poorly controlled diabetes, official coding guidelines, and insights from coding clinics related to diabetes.

Included Lessons:

Introduction to Diabetes
Diabetes Coding and Associated Condition Coding
Diabetes Sequencing
Diabetes Uncontrolled - Poorly Controlled
Diabetes Official Guidelines for Coding and Reporting
Coding Clinics Related to Diabetes

Key Takeaways

Medical coders who complete the course on "Diabetes and Diabetic Condition Coding in ICD-10-CM" will leave with several key learning takeaways, including:

In-Depth Diabetes Knowledge: Coders will have a comprehensive understanding of the different types of diabetes, including Type 1, Type 2, gestational diabetes, and less common types such as Type 1.5, MODY, and neonatal diabetes.
Accurate Coding Skills: Participants will develop proficiency in accurately coding diabetes and its associated conditions, complications, and comorbidities, ensuring that medical records are coded with precision.
Sequencing Expertise: Coders will master the art of proper sequencing, learning how to prioritize and code diabetes and associated conditions in accordance with the official guidelines, resulting in accurate and compliant coding practices.
Uncontrolled Diabetes Handling: The course equips coders with the ability to identify and code uncontrolled or poorly controlled diabetes, addressing hyperglycemia and hypoglycemia situations, and understanding the nuances of coding these conditions.
Guideline Adherence: Participants will become well-versed in the official coding guidelines for diabetes, ensuring that their coding practices align with industry standards and best practices.
Clinical Insights: The course provides access to insights from coding clinics related to diabetes, helping coders navigate complex or unique coding scenarios effectively.
Confidence in Coding Diabetes: Upon completion, coders will have the confidence and expertise needed to accurately code diabetes-related conditions, whether they are common cases or more unusual and challenging scenarios.

What is the most common type of diabetes, and how should I code it if the type is not specified in the medical record?

The most common type of diabetes is Type 2 diabetes, representing 90% to 95% of cases. If the type of diabetes is not specified in the medical record, you should default to coding it as E11.-, Type 2 diabetes mellitus, in accordance with ICD-10-CM guidelines. However, it's crucial to thoroughly review the documentation and use a specific type code if it is documented.

How do I handle cases where patients have multiple diabetic conditions?

When a patient has multiple diabetic conditions documented and all are treated or monitored during the same encounter, you can choose any of the diabetic conditions as the principal diagnosis (PDX). Coders should group the codes and review MS-DRG or APR-DRG assignments to determine the best choice for PDX, ensuring it meets the principal diagnosis requirements.

About our Medical Coding Courses

HIAlearn, powered by Health Information Associates (HIA)—a leader in medical coding and auditing for more than three decades—offers a comprehensive online education platform for medical coders. With a catalog of over 200 medical coding courses accepted by the American Health Information Management Association (AHIMA) for Continuing Education Units (CEUs) and a selection approved by the American Academy of Professional Coders (AAPC), HIAlearn caters to both beginners and experienced medical coders seeking to enhance their skills. The platform provides an array of training plans tailored to meet individual learning needs, from mastering challenging coding procedures to understanding broad conceptual frameworks within the coding world. Courses are available across various coding types including CPT, E/M, ICD-10-CM, ICD-10-PCS, and are designed to cater to different coder levels and coding specialties such as inpatient, outpatient, profee, and CDI. Additionally, HIAlearn offers a Coding Updates bundle to ensure coders are up-to-date with the annual changes in ICD-10-CM, ICD-10-PCS, CPT, and IPPS. Beyond individual learning, HIAlearn supports organizations with group discounts, promoting enhanced coding accuracy, efficiency, and compliance across teams.