Ask ACDIS: Seeking clarification on diabetes advice

Q: I am looking for additional clarification regarding the recent AHA Coding Clinic for ICD-10-CM/PCS concerning diabetes and the use of the word “with.” While the examples often used in Coding Clinic are specific, the actual advice applies in other instances as appropriate, correct? My concern is actually of an inquisitive nature. What has changed in the interpretation of the words “with,” “associated with,” and “due to” from ICD-9 to ICD-10?

A: “The coding convention referred to now is the same convention that existed in ICD-9, so I’m scratching my head as I attempt to understand the breadth of these Coding Clinics,” says ACDIS Advisory Board member Karen Newhouser, RN, BSN, CCDS, CCS, CCM, CDIP, director of education for MedPartners in Tampa, Florida.