Notification



Notification Issue Date:



Policy Attachment



Attachment to Policy # 12.05.01i


Attachment:C

Policy #:12.05.01i

Description:ICD-10 CM Codes Eligible to be Reported for Outpatient Diabetes Education and Self-Management Training (E13.37X3- P70.2), Continued

Title:Outpatient Diabetes Education and Self-Management Training


INTERNATIONAL CLASSIFICATION OF DISEASES (ICD-10) DIAGNOSIS CODES ASSOCIATED WITH OUTPATIENT DIABETES EDUCATION AND SELF-MANAGEMENT TRAINING

E13.37X3Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
E13.37X9Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
E13.39Other specified diabetes mellitus with other diabetic ophthalmic complication
E13.40Other specified diabetes mellitus with diabetic neuropathy, unspecified
E13.41Other specified diabetes mellitus with diabetic mononeuropathy
E13.42Other specified diabetes mellitus with diabetic polyneuropathy
E13.43Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy
E13.44Other specified diabetes mellitus with diabetic amyotrophy
E13.49Other specified diabetes mellitus with other diabetic neurological complication
E13.51Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene
E13.52Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene
E13.59Other specified diabetes mellitus with other circulatory complications
E13.610Other specified diabetes mellitus with diabetic neuropathic arthropathy
E13.618Other specified diabetes mellitus with other diabetic arthropathy
E13.620Other specified diabetes mellitus with diabetic dermatitis
E13.621Other specified diabetes mellitus with foot ulcer
E13.622Other specified diabetes mellitus with other skin ulcer
E13.628Other specified diabetes mellitus with other skin complications
E13.630Other specified diabetes mellitus with periodontal disease
E13.638Other specified diabetes mellitus with other oral complications
E13.641Other specified diabetes mellitus with hypoglycemia with coma
E13.649Other specified diabetes mellitus with hypoglycemia without coma
E13.65Other specified diabetes mellitus with hyperglycemia
E13.69Other specified diabetes mellitus with other specified complication
E13.8Other specified diabetes mellitus with unspecified complications
E13.9Other specified diabetes mellitus without complications
O24.011Pre-existing type 1 diabetes mellitus, in pregnancy, first trimester
O24.012Pre-existing type 1 diabetes mellitus, in pregnancy, second trimester
O24.013Pre-existing type 1 diabetes mellitus, in pregnancy, third trimester
O24.019Pre-existing type 1 diabetes mellitus, in pregnancy, unspecified trimester
O24.02Pre-existing type 1 diabetes mellitus, in childbirth
O24.03Pre-existing type 1 diabetes mellitus, in the puerperium
O24.111Pre-existing type 2 diabetes mellitus, in pregnancy, first trimester
O24.112Pre-existing type 2 diabetes mellitus, in pregnancy, second trimester
O24.113Pre-existing type 2 diabetes mellitus, in pregnancy, third trimester
O24.119Pre-existing type 2 diabetes mellitus, in pregnancy, unspecified trimester
O24.12Pre-existing type 2 diabetes mellitus, in childbirth
O24.13Pre-existing type 2 diabetes mellitus, in the puerperium
O24.311Unspecified pre-existing diabetes mellitus in pregnancy, first trimester
O24.312Unspecified pre-existing diabetes mellitus in pregnancy, second trimester
O24.313Unspecified pre-existing diabetes mellitus in pregnancy, third trimester
O24.319Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimester
O24.32Unspecified pre-existing diabetes mellitus in childbirth
O24.33Unspecified pre-existing diabetes mellitus in the puerperium
O24.410Gestational diabetes mellitus in pregnancy, diet controlled
O24.414Gestational diabetes mellitus in pregnancy, insulin controlled
O24.415Gestational diabetes mellitus in pregnancy, controlled by oral hypoglycemic drugs
O24.419Gestational diabetes mellitus in pregnancy, unspecified control
O24.420Gestational diabetes mellitus in childbirth, diet controlled
O24.424Gestational diabetes mellitus in childbirth, insulin controlled
O24.425Gestational diabetes mellitus in childbirth, controlled by oral hypoglycemic drugs
O24.429Gestational diabetes mellitus in childbirth, unspecified control
O24.430Gestational diabetes mellitus in the puerperium, diet controlled
O24.434Gestational diabetes mellitus in the puerperium, insulin controlled
O24.435Gestational diabetes mellitus in puerperium, controlled by oral hypoglycemic drugs
O24.439Gestational diabetes mellitus in the puerperium, unspecified control
O24.811Other pre-existing diabetes mellitus in pregnancy, first trimester
O24.812Other pre-existing diabetes mellitus in pregnancy, second trimester
O24.813Other pre-existing diabetes mellitus in pregnancy, third trimester
O24.819Other pre-existing diabetes mellitus in pregnancy, unspecified trimester
O24.82Other pre-existing diabetes mellitus in childbirth
O24.83Other pre-existing diabetes mellitus in the puerperium
O24.911Unspecified diabetes mellitus in pregnancy, first trimester
O24.912Unspecified diabetes mellitus in pregnancy, second trimester
O24.913Unspecified diabetes mellitus in pregnancy, third trimester
O24.919Unspecified diabetes mellitus in pregnancy, unspecified trimester
O24.92Unspecified diabetes mellitus in childbirth
O24.93Unspecified diabetes mellitus in the puerperium
O99.810Abnormal glucose complicating pregnancy
O99.814Abnormal glucose complicating childbirth
O99.815Abnormal glucose complicating the puerperium
P70.2Neonatal diabetes mellitus

Version Effective Date: 10/01/2017
Version Issued Date: 09/29/2017
Version Reissued Date: N/A



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