ICD-10 Coding for Family History of Diabetes Mellitus(Z83.3)
Complete ICD-10-CM coding and documentation guide for Family History of Diabetes Mellitus. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Family History of Diabetes Mellitus
Z83-Z83.9Primary Range
Family history of other specific disorders
This range includes codes for family history of specific conditions, including diabetes mellitus.
Key Information: ICD-10 code for family history of diabetes
Essential facts and insights about Family History of Diabetes Mellitus
Primary ICD-10-CM Code for family history of initials of a doctor
Decision Criteria
documentation Criteria
- Document the specific relative and type of diabetes.
Applicable To
- Family history of type 1 diabetes
- Family history of type 2 diabetes
- Family history of gestational diabetes
Excludes
- Personal history of diabetes mellitus (E10-E14)
Clinical Validation Requirements
- Documentation of a first-degree relative with diabetes mellitus
- Specification of the type of diabetes
- Age at diagnosis if known
Code-Specific Risks
- Incorrectly using this code when the patient has diabetes themselves.
Coding Notes
- Ensure documentation specifies the relationship and type of diabetes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for screening for diabetes mellitus
Z13.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Family History of Diabetes Mellitus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z83.3.
Impact
Clinical: May lead to inappropriate clinical decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Train staff on documentation requirements., Use templates to ensure completeness.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use E10-E14 codes for personal diabetes history.
Impact
Inadequate documentation of family history can lead to audit findings.
Mitigation Strategy
Ensure detailed and specific documentation of family history.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Family History of Diabetes Mellitus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Family History of Diabetes Mellitus
Use these documentation templates to ensure complete and accurate documentation for Family History of Diabetes Mellitus. These templates include all required elements for proper coding and billing.
Routine Physical Exam
Specialty: Primary CareRequired Elements
- Family member with diabetes
- Type of diabetes
- Age at diagnosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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