Icd 10 Diabetes Without Retinopathy

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Coding Q&a

CODING Q&A Diabetes Coding for ICD-10-CM SUZANNE L. CORCORAN, COE Coding and documentation for diabetes and especially diabetic eye disease have changed substantially with the implementation of ICD-10. Here are some considerations to keep in mind. Q. What are the major differences between ICD-9 and ICD-10 for diabetes? A. In coding diabetic eye disease, there are many changes. Instead of coding diabetes plus any ocular manifestations as separate codes, ICD-10 has introduced “combination codes” that describe the type of diabetes as well as any retinopathy and edema. In ICD-9, we coded diabetes as follows, with a fifth digit to identify the type of diabetes. 250.0_ Diabetes mellitus w/o mention of complication or manifestation 250.5_ Diabetes mellitus with ophthalmic manifestations • 0 – Type II, or unspecified type, not stated as uncontrolled • 1 – Type I [juvenile], not stated as uncontrolled • 2 – Type II, or unspecified type, uncontrolled • 3 – Type I [juvenile], uncontrolled When there was diabetic retinopathy, we coded also: 362.0 – Diabetic retinopathy • 362.01 – Background diabetic retinopathy • 362.02 – Proliferative diabetic retinopathy (PDR) Continue reading >>

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  1. Nissa

    I'm just at the end of my 14 day Induction and in the first week I dropped 3kgs and I could really feel my body working hard but in the second week I haven't lost anything and I don't seem to feel the effects of entering ketosis anywhere near as much. Is that normal?? I did note that some days my carb levels have barely hit 13-15 whereas other days are up at 18-20, could that have anything to do with it? I started at 61kgs and have dropped to 58 but still 4kgs off my goal weight. Should I stay in Induction since my weight loss has slowed or should I move on to OWL? A little confused... :S

  2. Marcel

    Pretty much in the same situation. I lost 4kg in my first week of induction and then only 300 g in my second. Now I'm doing another two weeks of induction. It could be "normal" with this new Atkins. I'd been on the original Atkins ten years ago and it worked like magic.

  3. Georgia

    Hi Guys,
    The scale is the least reliable source of information regarding fat loss. Take your measurements with a tape measure once a week to see if you are losing inches.
    If you are, it means that your fat cells are shrinking and the scale is bound to catch up eventually.
    Assuming that you are doing Atkins properly, recognize that there may not be a problem at all. Different people will respond to Atkins differently; some consistently lose weight while others do so in stages. Don't compare yourself to others and become overly concerned with short-term results. Certain medications, activity level, hormonal status and age can cause differences in weight loss. Also, make sure your expectations of weight loss are realistic. It is impossible to predict the rate of weight loss because there are so many variables.
    Here is a check list;
    Are you drinking enough water? At least 64oz daily.
    Eating all your veggies? Meaning at least 12-15 net carbs from veggies daily.
    Try 4 veggie net carbs at breakfast, 5.5 veggie net carbs at lunch, 5.5 veggie net carbs at dinner.
    Eating only from the Acceptable Food List?http://www.atkins.com/Program/Phase1/WhatYouCanEatinthisPhase.aspx
    Check for hidden carbs and sugars in the foods you are consuming. (i.e. corn syrup, fructose)
    Consume no more than 3 teaspoons (3 packets) of artificial sweeteners a day? Completely stop the Diet Sodas.
    Make sure you are not consuming too few or too many calories. Plan for between 1500 calories for women and 1800 calories for men daily.
    Too few as well as too many can retard weight loss. No need to count on a daily basis, just do a spot check.
    Do a spot check on calorie consumption at www.fitday.com.
    Are you sedentary? Move your body...Walk at least 30 minutes a day to start.
    Are you on any medications that could be impeding your weightloss? Talk to your doctor.
    Make sure not to eat more than 2 Atkins products a day.
    Before you get discouraged and lose your commitment to long-term healthy eating habits, understand that plateaus occur in any slimming-down process. Stick with the program and your weight loss will kick in again. You may stay at one weight for a month, and then suddenly drop three pounds.
    Don't forget to check out our AU Carb Counter : http://au.atkins.com/uploads/docs/2013%20ANZ%20Carb%20Counter%20booklet.pdf which will help you keep informed on your daily carb count
    Hope this helps,
    Atkins Customer Support Specialist

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