Question

Audit the coding for the following reports.

Audit Report 4.1 Laboratory Workup

A65-year-old female with ESRD, hypertension, diabetes mellitus type 2 ad atrial fibrillation on Coumadin presents to the lab for the following

Comprehensive metabolic panel:

Magnesium: 

Prothrombin time (PT):

UA (Automated with microscope)

One or more of the following codes are reported incorrectly for this case, Indicate the incorrect code or codes

PROFESSIONAL SERVICES: Creatinine. B2565. Urinalysis. 81003. Comprehensive metabolic canal, 80053. Magnesium, 83735. Prothrombin time, 85610.

ICD-10-CM DX: Hypertensive kidney disease, I12.0; End-stage renal disease, N18.6; Diabetes, E11.9; Atrial fibrillation, I48.91 Long-term drug therapy Z79.01

INCORRECT CODE(S):

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Answer 1

Type 2 Diabetes Mellitus without complications

E11. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

ICD-Code E11* is a non-billable ICD-10 code used for healthcare diagnosis reimbursement of Type 2 Diabetes Mellitus. Its corresponding ICD-9 code is 250. Code I10 is the diagnosis code used for Type 2 Diabetes Mellitus.

• diabetes means your blood glucose or blood sugar is too high. With type 2 diabetes, the more common type, your body does not make or use insulin well. Insulin is a hormone that helps glucose get into your cells to give them energy. Without insulin, too much glucose stays in your blood. Over time, high blood glucose can lead to serious problems with your heart, eyes, kidneys, nerves, and gums, and teeth. you have a higher risk of type 2 diabetes if you are older, obese, have a family history of diabetes, or do not exercise. the symptoms of type 2 diabetes appear slowly. Some people do not notice symptoms at all. The symptoms can include blood test can show if you have diabetes. Many people can manage their diabetes through healthy eating, physical activity, and blood glucose testing. Some people also need to take diabetes medicines.

• being very thirsty

• urinating often

• feeling very hungry or tired

• losing weight without trying

• having sores that heal slowly

• having blurry eyesight

• Diabetes mellitus

• A heterogeneous group of disorders that share glucose intolerance in common.

• Subclass of diabetes mellitus that is not insulin-responsive or dependent; characterized initially by insulin resistance and hyperinsulinemia and eventually by glucose intolerance, hyperglycemia, and overt diabetes; type ii diabetes mellitus is no longer considered a disease exclusively found in adults; patients seldom develop ketosis but often exhibit obesity.

Codes

• E11 Type 2 diabetes mellitus

• E11.61 Type 2 diabetes mellitus with diabetic arthropathy

• E11.62 Type 2 diabetes mellitus with skin complications

• E11.63 Type 2 diabetes mellitus with oral complications

• E11.64 Type 2 diabetes mellitus with hypoglycemia

• E11.65 Type 2 diabetes mellitus with hyperglycemia

• E11.69 Type 2 diabetes mellitus with other specified complication

• E11.610 Type 2 diabetes mellitus with diabetic neuropathic arthropathy

• E11.618 Type 2 diabetes mellitus with another diabetic arthropathy

• E11.620 Type 2 diabetes mellitus with diabetic dermatitis

• E11.621 Type 2 diabetes mellitus with foot ulcer

• E11.622 Type 2 diabetes mellitus with another skin ulcer

• E11.628 Type 2 diabetes mellitus with other skin complications

• E11.630 Type 2 diabetes mellitus with periodontal disease

• E11.638 Type 2 diabetes mellitus with other oral complications

• E11.641 …… with coma

• E11.649 …… without coma

• E11.51 Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene

• E11.52 Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene

• E11.59 Type 2 diabetes mellitus with other circulatory complications

• E11.40 Type 2 diabetes mellitus with diabetic neuropathy, unspecified

• E11.41 Type 2 diabetes mellitus with diabetic mononeuropathy

• E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy

• E11.43 Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy

• E11.44 Type 2 diabetes mellitus with diabetic amyotrophy

• E11.49 Type 2 diabetes mellitus with other diabetic neurological complication

• E11.31 Type 2 diabetes mellitus with unspecified diabetic retinopathy

• E11.32 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy

• E11.33 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy

• E11.34 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy

• E11.35 Type 2 diabetes mellitus with proliferative diabetic retinopathy

• E11.36 Type 2 diabetes mellitus with diabetic cataract

• E11.37 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment

• E11.39 Type 2 diabetes mellitus with other diabetic ophthalmic complication

• E11.311 …… with macular edema

• E11.319 …… without macular edema

• E11.3291 …… right eye

• E11.3292 …… left eye

• E11.3293 …… bilateral

• E11.3299 …… unspecified eye

• E11.3211 …… right eye

• E11.3212 …… left eye

• E11.3213 …… bilateral

• E11.3219 …… unspecified eye

• E11.321 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema

• E11.329 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema

• E11.3391 …… right eye

• E11.3392 …… left eye

• E11.3393 …… bilateral

• E11.3399 …… unspecified eye

• E11.3311 …… right eye

• E11.3312 …… left eye

• E11.3313 …… bilateral

• E11.3319 …… unspecified eye

• E11.331 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema

• E11.339 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema

• E11.3491 …… right eye

• E11.3492 …… left eye

• E11.3493 …… bilateral

• E11.3499 …… unspecified eye

• E11.3411 …… right eye

• E11.3412 …… left eye

• E11.3413 …… bilateral

• E11.3419 …… unspecified eye

• E11.341 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema

• E11.349 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema

• E11.3591 …… right eye

• E11.3592 …… left eye

• E11.3593 …… bilateral

• E11.3599 …… unspecified eye

• E11.3551 …… right eye

• E11.3552 …… left eye

• E11.3553 …… bilateral

• E11.3559 …… unspecified eye

• E11.3541 …… right eye

• E11.3542 …… left eye

• E11.3543 …… bilateral

• E11.3549 …… unspecified eye

• E11.3531 …… right eye

• E11.3532 …… left eye

• E11.3533 …… bilateral

• E11.3539 …… unspecified eye

• E11.3521 …… right eye

• E11.3522 …… left eye

• E11.3523 …… bilateral

• E11.3529 …… unspecified eye

• E11.3511 …… right eye

• E11.3512 …… left eye

• E11.3513 …… bilateral

• E11.3519 …… unspecified eye

• E11.351 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema

• E11.352 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula

• E11.353 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula

• E11.354 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment

• E11.355 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy

• E11.359 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema

• E11.37X1 …… right eye

• E11.37X2 …… left eye

• E11.37X3 …… bilateral

• E11.37X9 …… unspecified eye

• E11.21 Type 2 diabetes mellitus with diabetic nephropathy

• E11.22 Type 2 diabetes mellitus with diabetic chronic kidney disease

• E11.29 Type 2 diabetes mellitus with other diabetic kidney complication

• E11.10 …… without coma

• E11.11 …… with coma

• E11.00 …… without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)

• E11.01 …… with coma

• E11.0 Type 2 diabetes mellitus with hyperosmolarity

• E11.1 Type 2 diabetes mellitus with ketoacidosis

• E11.2 Type 2 diabetes mellitus with kidney complications

• E11.3 Type 2 diabetes mellitus with ophthalmic complications

• E11.4 Type 2 diabetes mellitus with neurological complications

• E11.5 Type 2 diabetes mellitus with circulatory complications

• E11.6 Type 2 diabetes mellitus with other specified complications

• E11.8 Type 2 diabetes mellitus with unspecified complications

• E11.9 Type 2 diabetes mellitus without complications