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Diabetic Ketoacidosis Icd 9

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Here's a quick video tutorial on how to translate ICD-9 codes into ICD-10.

Choosing Icd-9 Codes For Three Common Inpatient Conditions

Home Coding Choosing ICD-9 codes for three common inpatient conditions Choosing ICD-9 codes for three common inpatient conditions Related article: New Medicare rules for billing in 2014 While ICD-9-CM coding is key in identifying the symptoms and conditions treated during patient care, too many physicians dont take full advantage of ICD-9 codes. As a result, physicians and their institutions often dont get the credit they deserve for treating complex illnesses. Treat a patient for something as simple as hypertension, for example, and you can report a number of factors, all of which will help to truly reflect the patients severity of illness and the physicians effort treating that patient. You can specify whether the condition was stable, whether it was malignant, and whether there were any associated heart or Neglect to provide this level of detail, however, and your coding department will likely have to revert to unspecified ICD-9 codes. The ICD-9 manual lists several types of unspecified codes, including unspecified, NEC (not elsewhere classifiable, and NOS (not otherwise specified). Providing the most specific ICD-9 codes is important for several reasons. For one, many hospital Continue reading >>

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  1. AshSimmonds

    From Amazon:
    Quote
    The Ketonix product can measure your body production of ketones (fat burn process) in your breath and is an excellent alternative to other methods such as urine strips or blood samples.
    ??The Ketonix is a one time cost and is simple to use. It has never been easier to see if you produce ketones!?
    Whats the advantage to use Ketonix instead of urine strips and blood ketone meters?
    * Urine strips indicates the excess concentration of acetoacetate in the urine. Ketonix indicates the acetone in your breath (indirectly from the concentration of acetoacetate in blood). Units are not the same, the concentration in fluid is higher due to less volume (higher density) and is measured typically in mmol/l. The concentration in gas(air) is lower due to much more volume (lower density) and is measured in nmol/l. Again, urine strips measures acetoacetate in urine, blood meters measures beta-hydroxybutyrate in blood and Ketonix measures acetone in breath (air).
    * Urine strips can only be used once. Ketonix is reusable and can be used over and over again.
    * Urine strips show a historical value of the excess production. Ketonix shows a real-time value of whats in the blood right now!
    * Urine strips tests need urine and somewhere to do the test. You can perform tests using Ketonix wherever you can access a powered USB port. We don't recommend using Ketonix in vehichles (or in any motion).
    * Urine strips need to be disposed. Ketonix should be stored in the bag that was included with the product.
    * Urine strips cost per test. Ketonix is a one-time investment!
    * Blood ketone meters measures beta-hydroxybutyrate in blood, not acetoacetate or acetone.
    * Blood ketone measure requires strips which are expensive
    * Blood ketone measure sometimes fail and cost you twice!
    * Blood ketone meter values differ between devices, even when it is the same model and brand.
    * Blood ketone meter values is measured in mmol/l, and Ketonix values in nmol/l. This is ofcourse due to the higher density of blood than air. Therefore the blood ketone concentration if beta-hydroxybutyrate is not the same as the concentration of acetone in breath. Just as the concentration of acetoacetate in urine is not the same as concntration of beta-hydroxybutyrate in blood.
    As always, we do not take any responsibility for your usage of Ketonix. You should always consult your doctor/dietician before changing/experimenting with your diet!
    In AppStore you could download the Ketonix app to calculate your ketogenic diet ratio!

  2. AshSimmonds

    Got mine delivered this week, landed is about $100 bucks.
    Interesting little device, it was only mid last year that the idea of such a thing becoming commercially available was really gaining traction - now all of a sudden there's this one which seems to be first to market.
    It has four LEDs, each one representing a range of acetone/ketones on your breath:
    Blue - none or trace: 0-150 nmol/L
    Green - low: 150-400 nmol/L
    Yellow - medium: 400-930 nmol/L
    Red - high: 930+ nmol/L
    There Are Four Lights
    When I first plugged it in it took over half an hour before it was ready to take a reading, I emailed the manufacturer and they said initial "burn in" time for the sensor can vary depending on stuff (climate/etc). Subsequent plug-ins have had the device ready to rock within a minute or so - often within 20 seconds.
    I've been blowing a consistent green-yellow for the last couple days, except for today as last night we watched The Wolf Of Wall Street and I had some popcorn/prawn crackers/beer/wine so am currently not particularly ketogenic until my glucose/glycogen disspates again somewhat.
    For the moment I'm content with these coloured ranges, as when you test blood ketones you take that decimal number and end up just categorising it as low/med/high to yourself anyhoo.
    As of right now though there's a dearth of data about breath ketones and the correlation with serum ketones, so throughout February I'm looking at doing my own extensive testing and recording to add a little N=1 anecdata to the shallow pool.
    Here it is - later I'll chuck up a vid of it in action (I went to the movies and drank beer/wine ate popcorn/prawn crackers last night so I'll wait for any residual carbs/glycogen to diminish).

  3. AshSimmonds

    The only paper I know of comparing breath ketones to blood and urine, and sadly it's only a 12 hour study and it only measures the very low end of ketosis:
    http://ajcn.nutrition.org/content/76/1/65.full
    Quote
    Breath acetone is a reliable indicator of ketosis in adults consuming ketogenic meals
    ...
    The objective was to determine which index, breath acetone or urinary acetoacetate, is more strongly related to the plasma ketones acetoacetate and ?-hydroxybutyrate.
    ...
    After fasting overnight for 12 h, 12 healthy adults consumed 4 ketogenic meals over 12 h. Blood, breath, and urine samples were collected hourly. Blood was analyzed for plasma acetoacetate and ?-hydroxybutyrate, breath for acetone, and urine for acetoacetate.
    ...
    Plasma acetoacetate was best predicted by breath acetone ... Plasma ?-hydroxybutyrate was equally predicted by breath acetone and urinary acetoacetate
    Quote
    Mean (±SEM) changes in breath acetone, plasma acetoacetate (AcAc), plasma ?-hydroxybutyrate (?-HBA), and urinary acetoacetate. n = 12 subjects per time point. *Significantly different from 0 h (fasting), P < 0.05. The vertical dashed lines indicate the time points at which a ketogenic meal was consumed.

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This is a video of ICD-9 Code and Medical Billing by ICON Medical Billing

Medical Billing Code Search

Neoplasm of uncertain behavior of unspecified breast Neoplasm of uncertain behavior of right breast Neoplasm of uncertain behavior of left breast Neoplasm of uncertain behavior of other specified sites Includes: Neoplasm of uncertain behavior of eyeNeoplasm of uncertain behavior of heartNeoplasm of uncertain behavior of peripheral nerves of orbit Excludes 1: neoplasm of uncertain behavior of connective tissue (D48.1)neoplasm of uncertain behavior of skin of eyelid (D48.5) Neoplasm of uncertain behavior, unspecified Neoplasm of unspecified behavior of digestive system Excludes 1: neoplasm of unspecified behavior of margin of anus (D49.2)neoplasm of unspecified behavior of perianal skin (D49.2)neoplasm of unspecified behavior of skin of anus (D49.2) Neoplasm of unspecified behavior of respiratory system Neoplasm of unspecified behavior of bone, soft tissue, and skin Excludes 1: neoplasm of unspecified behavior of anal canal (D49.0)neoplasm of unspecified behavior of anus NOS (D49.0)neoplasm of unspecified behavior of bone marrow (D49.89)neoplasm of unspecified behavior of cartilage of larynx (D49.1)neoplasm of unspecified behavior of cartilage of nose (D49.1)neoplasm of unspecified Continue reading >>

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  1. GoldChest

    for who used the both, what is the best?
    im currently on keto, 10 week, but the results its not what i expected..thinking about change to carb cycling

  2. red head

    between the 2 id say carbcycling . ive tried keto , tkd and carb cycling and had better results with carb cycling and its much more flexible . i IF now which is sort of carb cyling and even more flexible with better results .

  3. J Nicholas

    I've always used Keto with great results. One thing I have learned though, both from myself getting older, and working with clients of different ages, is that you'll need to mess around with your cycle duration. I've seen women stay out of ketosis for a week and a half, and I've personally gone into ketosis after only a day and a half. Find the cycle time that works best for you then stick with it. Rinse and repeat. Due to the nature of how this form of dieting works, you should be able to get nearly the same results week in and week out. Here's another couple of tips:
    1) I KNOW you're using ketone test strips.....right? If they are old, toss em and get a new bottle.
    2) unfortunately, the glycemic index doesn't seem to get along too well with carb depleting. If you are eating bars or shakes that say they have low NET carbs, but it's based on glycemic rating, then you are fucking yourself. Best to avoid bars and shakes altogether, except maybe isopure or another truly carb free shake.
    3) Alpha Lipoic Acid. Go get some right now. Its friggin fantastic for you, but besides that, it will get you into ketosis MUCH quicker. 1000000 times safer than insulin. Some people swear by being able to use it to fight back against incidental carbs or moments of weakness during a ketosis cycle.
    good luck with whatever you decide to do. diet is definitely the way to go for fat loss.

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http://www.icd10forkindergarten.com http://www.pacecoding.com

Icd-9-cm Test 4 Flashcards | Quizlet

1.) A chronic disorder of impaired carbohydrate, protein and fat metabolism? 5th digit = whether diabetes is out of control 2.) "diabetes" noted in chart without further specification defaults to__________? 1.) False. "uncontrolled diabetes mellitus" or "diabetes mellitus out of control" must be specifically stated in the medical record in order to code for uncontrolled diabetes. 2.) False. In the absence of further specificity, this should be coded as 790.2 (abnormal glucose) 1.) True/False? "poorly controlled" or "poor control" in chart indicates uncontrolled diabetes. 2.) True/False "borderline diabetes" without further specification should be coded as diabetes mellitus. Described as ketosis-prone or juvenile diabetes & characterized by the body's failure to produce insulin at all or an absolute decrease in insulin production. Requires regular insulin injections. Described as ketosis resistant or "adult-onset" diabetes & characterized by the body's inability to adequately utilize insulin. Patients may or may not require insulin. For patients with type (a.)________ ? diabetes mellitus who routinely use insulin, V58.67 (Long term [current] use of insulin) is required unless insul Continue reading >>

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  1. treehorn+bunny

    You don't need to be in DKA to get ketosis. It's probably because he hasn't been eating enough/is sick. It is not uncommon for people who have stomach viruses to burn ketones.
    In nondiabetic persons, ketonuria may occur during acute illness or severe stress.

  2. PorcineWithMe

    GERD/reflux/"heartburn" can cause that smell and so can taking Prilosec (or other PPIs). My husband had THE WORST breath from taking Prilosec. Ugh.

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