A pregnant patient was admitted to the hospital with uncontrolled diabetes mellitus. She is a type I diabetic and was brought under control and subsequently discharged. The following code was assigned: Which of the following describe why the coding is in error?

Question

A pregnant patient was admitted to the hospital with uncontrolled diabetes mellitus. She is a type I diabetic and was brought under control and subsequently discharged. The following code was assigned:  Which of the following describe why the coding is in error?

Quizplus · Accepted Answer

An additional code describing the type I diabetes mellitus should have been used in addition to the code for the admission, as the patient's diabetes is a chronic condition that will require ongoing management beyond the hospitalization. Additionally, the specific type of diabetes should have been documented, rather than leaving it as uncontrolled diabetes mellitus.

A Pregnant Patient Was Admitted to the Hospital with Uncontrolled