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Diabetes Care: How To Code It Right
Presenter
Kim Garner-Huey
Follow us :
Diabetes is the most incorrectly coded diagnosis – most of the patients are
coded as if they have absolutely no complications; therefore, the claims
data is not able to accurately capture the intensity of the services provided.
• The Epidemic
• Correct Diagnosis Coding
• Office Services
• Medicare Benefits
2
The Epidemic
• 20.8 million children and adults – 7%
– Diagnosed: 14.6 million people
– Undiagnosed: 6.2 million people
– Pre-diabetes: 54 million people
• 1.5 million new cases of diabetes were
diagnosed in people aged 20 years or
older in 2005.
3
Incidence of Complications
• Diabetic retinopathy – estimated at 50% of patients with diabetes, and is the leading
cause of new cases of blindness each year.
• Diabetic nephropathy - Diabetes is the leading cause of kidney failure, accounting
for 44% of new cases in 2008.
• Diabetic neuropathy - 60% to 70% of people with diabetes have mild to severe
forms of nervous system damage.
• Hypertension – 67% of people with diabetes have BP > 140/90 or use Rx meds for
hypertension
• Peripheral circulatory disorders - More than 60% of nontraumatic lower-limb
amputations occur in people with diabetes. The rate of amputation for people with
diabetes is 10 times higher than for people without diabetes.
• Periodontal (gum) disease - One-third of people with diabetes have severe
periodontal disease with loss of attachment of the gums to the teeth measuring 5
millimeters or more.
• Depression – People with diabetes are twice as likely to have depression.
• Sexual Dysfunction
– Men with diabetes are 2 times as likely to experience erectile dysfunction as men without diabetes.
– Women with type 1 diabetes are twice as likely to experience prevalence of sexual dysfunction compared
with women without diabetes.
Source: CDC 2011 National Diabetes Fact Sheet -
http://www.cdc.gov/diabetes/pubs/factsheet11.htm?loc=diabetes-statistics
To see the complete presentation check the
below link:
http://www.audioeducator.com/family-practice/coding-documentation-
diabetes-care-services-07-28-14.html

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Diabetes Care: How To Code It Right

  • 1. Diabetes Care: How To Code It Right Presenter Kim Garner-Huey Follow us : Diabetes is the most incorrectly coded diagnosis – most of the patients are coded as if they have absolutely no complications; therefore, the claims data is not able to accurately capture the intensity of the services provided.
  • 2. • The Epidemic • Correct Diagnosis Coding • Office Services • Medicare Benefits 2
  • 3. The Epidemic • 20.8 million children and adults – 7% – Diagnosed: 14.6 million people – Undiagnosed: 6.2 million people – Pre-diabetes: 54 million people • 1.5 million new cases of diabetes were diagnosed in people aged 20 years or older in 2005. 3
  • 4. Incidence of Complications • Diabetic retinopathy – estimated at 50% of patients with diabetes, and is the leading cause of new cases of blindness each year. • Diabetic nephropathy - Diabetes is the leading cause of kidney failure, accounting for 44% of new cases in 2008. • Diabetic neuropathy - 60% to 70% of people with diabetes have mild to severe forms of nervous system damage. • Hypertension – 67% of people with diabetes have BP > 140/90 or use Rx meds for hypertension • Peripheral circulatory disorders - More than 60% of nontraumatic lower-limb amputations occur in people with diabetes. The rate of amputation for people with diabetes is 10 times higher than for people without diabetes. • Periodontal (gum) disease - One-third of people with diabetes have severe periodontal disease with loss of attachment of the gums to the teeth measuring 5 millimeters or more. • Depression – People with diabetes are twice as likely to have depression. • Sexual Dysfunction – Men with diabetes are 2 times as likely to experience erectile dysfunction as men without diabetes. – Women with type 1 diabetes are twice as likely to experience prevalence of sexual dysfunction compared with women without diabetes. Source: CDC 2011 National Diabetes Fact Sheet - http://www.cdc.gov/diabetes/pubs/factsheet11.htm?loc=diabetes-statistics
  • 5. To see the complete presentation check the below link: http://www.audioeducator.com/family-practice/coding-documentation- diabetes-care-services-07-28-14.html