Ref No: Q2756 | Published On: 15-Jun-2012 | Status: Current Diabetes mellitus and unspecified proteinuria Q: Can E1-.22 *Diabetes be assigned for diabetes mellitus and mellitus with established diabetic nephropathy unspecified proteinuria? A: Please refer to the rules in ACS 0401 - 1 July 2012 Diabetes mellitus and intermediate hyperglycaemia revision. E1-.22 *Diabetes should not be assigned unless the mellitus with established diabetic nephropathy proteinuria is described as 'fixed' or 'persistent'. The terms 'fixed' and 'persistent' are correctly listed as essential modifiers in the Seventh Edition Index. There is no default code at the Index entry Diabetes, with, proteinuria as unspecified proteinuria is not linked with diabetes mellitus. Where there is no link the two conditions, diabetes mellitus and proteinuria, should be coded independently. Diabetes, diabetic - with - - proteinuria - - - with end-stage kidney disease (ESKD) E1-.22 (see also Diabetes, with, chronic kidney disease) - - - fixed E1-.22 - - - persistent E1-.22 The Seventh Edition Tabular List for codes E1-.22 are inconsistent with the index entries above. The Note: terms 'fixed' and 'persistent' at the includes term should be essential (rather than non essential) proteinuria modifiers. This will be corrected in Eighth Edition. (Coding QA, June 2012) Ref No: TN428 | Published On: 15-Jun-2012 | Status: Current Diabetes mellitus with features of insulin resistance ACS 0401 Diabetes mellitus and intermediate hyperglycaemia - Education Workshop FAQs Please refer to ACS 0401 - 1 July 2012 revision. Diabetes mellitus and intermediate hyperglycaemia Q: If a patient previously had conditions (such as obesity or characteristic dyslipidaemia) which qualified them for assignment of E1-.72 *Diabetes but in a more recent episode of care mellitus with features of insulin resistance no longer has those qualifying conditions (because they are no longer obese or their dyslipidaemia is controlled
Ref No: Q2756 | Published On: 15-Jun-2012 | Status: Current Diabetes mellitus and unspecified proteinuria Q: Can E1-.22 *Diabetes mellitus with established diabetic nephropathy be assigned for diabetes mellitus and unspecified proteinuria? A: Please refer to the rules in ACS 0401 Diabetes mellitus and intermediate hyperglycaemia - 1 July 2012 revision. E1-.22 *Diabetes mellitus with established diabetic nephropathy should not be assigned unless the proteinuria is described as 'fixed' or 'persistent'. The terms 'fixed' and 'persistent' are correctly listed as essential modifiers in the Seventh Edition Index. There is no default code at the Index entry Diabetes, with, proteinuria as unspecified proteinuria is not linked with diabetes mellitus. Where there is no link the two conditions, diabetes mellitus and proteinuria, should be coded independently. Diabetes, diabetic - with - - proteinuria - - - with end-stage kidney disease (ESKD) (see also Diabetes, with, chronic kidney disease) E1-.22 - - - fixed E1-.22 - - - persistent E1-.22 Note: The Seventh Edition Tabular List for codes E1-.22 are inconsistent with the index entries above. The terms 'fixed' and 'persistent' at the includes term proteinuria should be essential (rather than non essential) modifiers. This will be corrected in Eighth Edition. (Coding QA, June 2012) Ref No: TN428 | Published On: 15-Jun-2012 | Status: Current Diabetes mellitus with features of insulin resistance ACS 0401 Diabetes mellitus and intermediate hyperglycaemia - Education Workshop FAQs Please refer to ACS 0401 Diabetes mellitus and intermediate hyperglycaemia - 1 July 2012 revision. Q: If a patient previously had conditions (such as obesity or characteristic dyslipidaemia) which qualified them for assignment of E1-.72 *Diabetes mellitus with features of insulin resistance but in a more recent episode of care no longer has those qualifying conditions (because they are no longer obese or their dyslipidaemia is controlled