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Alma is a 32-weeks pregnant, Type I diabetic, who was diagnosed at 10-years-old. She has taken insulin continuously since her diagnosis. So far, Alma’ diabetes has not significantly affected her pregnancy, but Alma and her physicians have closely monitored her pregnancy and diabetes. What are the correct ICD-9 diagnosis codes for Alma’s condition?
  1. 648.80, V58.67
  2. 648.00, 250.00
  3. 648.00, 250.01, V58.67
  4. 648.80, 250.01, V58.67
Explanation
Answer: C - The correct diagnosis codes for Alma’s condition are: 648.00, 250.01 and V58.67. According to ICD-9 coding guidelines, a pregnant woman with diabetes, like Alma, should be assigned the 648.00 (Diabetes Complicating Pregnancy Code). In addition, they should be assigned the appropriate diabetes code. Alma has Type I diabetes, so the correct code is 250.01. She is also on insulin so the appropriate code is also V58.67 (Long-Term Use of Insulin).
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