Each month, this section will feature
an example of how ICD-9 codes will translate to ICD-10 codes. We will present
coding examples from different specialties and popular disease categories to
demonstrate the granularity that the new ICD-10 code set will provide.
CONDITIONS: DIABETES AND PRESSURE
ULCER
This example demonstrates how
to code diabetes and pressure ulcers using "combination codes." A combination
code is a single code used to clarify one of the following:
- two diagnoses;
- a diagnosis with an
associated secondary process (manifestation);
- a diagnosis with an
associated complication.
The combination code should be
documented only if the code fully identifies the diagnostic conditions
involved.
All of the diagnostic conditions must be clearly documented.
The tables below show how multiple
ICD-9 codes translate to new ICD-10 combination codes.
ICD-10 diabetes mellitus codes are combination codes that
include:
- type of diabetes
mellitus;
- body system affected;
- the
complication/manifestion affecting the body system.
|
|
- 250.52 Diabetes with
ophthalmic manifestations, type II or
unspecified type, uncontrolled
- 362.05 Moderate
nonproliferative diabetic retinopathy
- 362.07 Diabetic macular
edema
|
- E11.331 Type 2 diabetes
mellitus with moderate nonproliferative diabetic retinopathy with
macular
edema
|
ICD-10 pressure ulcer codes are combination codes that
include:
- the site (lower back)
of the pressure ulcer;
- the location
(right/left) of the pressure ulcer;
- the stage of the
pressure ulcer.
|
|
- 707.03 Pressure ulcer,
lower back
- 707.22 Pressure ulcer
stage II
|
- L89.132 Pressure ulcer of
right lower back, stage 2
OR
- L89.142 Pressure ulcer of
left lower back, stage 2
OR
- L89.152 Pressure ulcer of
sacral region, stage 2*
|
For additional information related to IBC's
transition to ICD-10, please visit the ICD-10 section of our
website.