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Dka Icd 10

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Type 2 Diabetes Mellitus With Other Specified Complication

Diabetes mellitus, type 2 with ketoacidotic coma Diabetes type 2 low hdl and high triglyceride Diabetes type 2 with erectile dysfunction Diabetes type 2 with hyperlipidemia Diabetes type 2 with severe malnutrition Diabetes, type 2 with ketoacidosis Diabetes, type 2 with osteomyelitis Dyslipidemia with high density lipoprotein below reference range and triglyceride above reference range due to type 2 diabetes mellitus Erectile dysfunction associated with type 2 diabetes mellitus Hyperlipidemia due to type 2 diabetes mellitus Ketoacidosis in type 2 diabetes mellitus Ketoacidosis in type ii diabetes mellitus Ketoacidotic coma in type 2 diabetes mellitus Ketoacidotic coma in type ii diabetes mellitus Mixed hyperlipidemia associated with type 2 diabetes mellitus Mixed hyperlipidemia due to type 2 diabetes mellitus Osteomyelitis due to type 2 diabetes mellitus Severe malnutrition due to type 2 diabetes mellitus Continue reading >>

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  1. Laurie R Zawiskie, RHIT

    Has anyone tried to code DKA in a patient with DM 2? The 3M encoder takes you to the code for secondary/other diabetes and then when you try to code other diabetic manifestations you get an excludes 1 notes saying they can't be coded with other diabetes. My code book is a 2014 draft, so I don't know if this has been corrected in the 2015 version, but there is not an entry for DM 2 with DKA. I think the 3M encoder is wrong to code it as secondary/other diabetes, but I can't find another way to code it.

  2. Lynn M Farnung

    Laurie,
    There is a Coding Clinic that addresses the type of DM with DKA. I have pasted it below.
    Diabetes mellitus with diabetic ketoacidosis
    Coding Clinic, First Quarter 2013 Page: 26-27 Effective with discharges: March 27, 2013
    Related Information
    Question:
    What is the correct code assignment for type 2 diabetes mellitus with diabetic ketoacidosis?
    Answer:
    Assign code E13.10, Other specified diabetes mellitus with ketoacidosis without coma, for a patient with type 2 diabetes with ketoacidosis. Given the less than perfect limited choices, it was felt that it would be clinically important to identify the fact that the patient has ketoacidosis. The National Center for Health Statistics (NCHS), who has oversight for volumes I and II of ICD-10-CM, has agreed to consider a future ICD-10-CM Coordination and Maintenance Committee meeting proposal.
    © Copyright 1984-2015, American Hospital Association ("AHA"), Chicago, Illinois. Reproduced with permission. No portion of this publication may be copied without the express, written consent of AHA. ------------------------------
    Lynn Farnung
    Inpatient/Outpatient coder, AHIMA Approved ICD-10 Trainer
    Original Message

  3. Laurie R Zawiskie, RHIT

    Thanks, Lynn. If a patient also has DM 2 w/nephropathy (E11.21), I guess we will have to ignore the Excludes 1 note that says E13.10 can't be coded with Type 2 DM (E11.-).
    ------------------------------
    Laurie Zawiskie
    Coder III
    Original Message

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Anion gap usmle - anion gap metabolic acidosis normal anion gap metabolic acidosis

Metabolic Acidosis With Diabetes Mellitus

Publication Date: 2004-05 Fourth quarter ICD 10 AM Edition: Fourth edition Query Number: 2125 30 year old patient with a PDx on discharge summary of metabolic acidosis. Patient is also an IDDM, with a history of a flu like illness for the past week, and noted to be dehydrated on admission. Patient stated BSL readings had been good. LOS 4 days. Following the Index Diabetes, acidosis, lactic - lactic is an essential modifier and there is no default or entry for metabolic or any of the other types of acidosis apart from ketoacidosis. 1. There is an excludes note under E87.2 Acidosis - Excludes: diabetic acidosis (E10- E14 with common 4th character .1). It would seem as though the classification is telling coders to code all types of acidosis to 'lactic acidosis' when in a diabetic patient. However the Index entry under Diabetes does not give this impression. Please could the committee confirm that the correct code/s would be E10.13 'Type 1 diabetes mellitus with lactic acidosis, without coma' for the diagnosis of metabolic acidosis in a diabetic patient. 2. Respiratory, lactic, and metabolic acidosis, ketoacidosis and acidosis NEC are all indexed to E87.2. Should coders code all the a Continue reading >>

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  1. amsmith

    I understand that the guidelines state "uncontrolled" should be coded as hyperglycemia. What about the DKA type 2 portion? We have 2 opinions in our office and I am just looking for the correct way to code it.
    I suspect for my scenario E11.65, E11.69 and E87.2. Please help.
    There really should be an E11.1X...LOL!!
    Thank you,
    Anna

  2. mitchellde

    Ketoacidosis is actually rare in a type 2 diabetic so that may be the reason for no specific code for it. So use the E11.69 with the E87.2

  3. amsmith

    Oddly, our physician's document it frequently. I will check with one of them to find out why we tend to have a higher volume.

  4. -> Continue reading
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Secondary Diabetes Click here for more coding tips by PPS Plus: https://www.youtube.com/watch?v=pOfOX... Conquer your coding & OASIS challenges with the best home health tips on YouTube. Do you have a tough coding scenario? Tell us about it in the comment box below, and you might just see your scenario in one of our upcoming YouTube videos! PPS Plus provides the perfect solution for maximizing your reimbursement potential, growing your business and providing your patients with better care. We provide OASIS analysis software, benchmarking software, coding & OASIS review services, as well as online and on-site education and consulting services. ************************************ Dont compromise your OASIS. Lets analyze it! http://bit.ly/OASISAnalysisPlus ************************************ Sign up to receive our FREE monthly Newswire: http://bit.ly/PPSPlusNewswire Lets Connect & Chat it Up! ************************** Website: http://ppsplus.com/ Facebook: https://www.facebook.com/ppsplus Twitter: https://twitter.com/ppsplus Google +: https://plus.google.com/+Ppsplus/posts LinkedIn: https://www.linkedin.com/company/pps-... RSS: http://ppsplus.com/news/ Pinterest: https://www.pinterest.com/ppsplus/ Video Notes: --------------------------- Founded in 1996 by president John Shinn, PPS Plus Software started off with humble beginnings. In fact, our first office was actually in his garage. But today, we are a market leader in OASIS analysis software, working with hundreds of agencies all over the country. And although we've moved up the ladder and now even work out of a real office, we're proud to maintain "small company" values where customers can always call and actually speak to a live person, including our talented team of nurses, ICD-9 coders, OASIS specialists and IT professionals who make up the PPS Plus Software of today. More about Our Company: http://ppsplus.com/about-us/ We believe in protecting your home health agency from financial loss. We develop innovative solutions to help you achieve OASIS accuracy, reimbursement accuracy and to help you become market leaders. We believe in the value of superior customer service, which involves answering your call with a live person, not a recording (those are for YouTube!) We strive to make every video valuable to YOU the home health professional. Our goal is to make sure your two minutes of video watching is worth your time and makes YOU a more successful business owner, administrator, director or clinician We strive to educate the home health community through our frequent educational workshops (on-line and on-site), publications, website blog, Newswire and our YouTube channel, so we can always be a valuable resource to keep your up to date on all the latest industry trends and changes. Discover superior home health education: http://ppsplus.com/what-we-do/education/ PPS Plus is headquartered in Biloxi, Mississippi.

Coding Tip Of The Month - August 2016 | Uasi

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Popular Questions

  1. amsmith

    I understand that the guidelines state "uncontrolled" should be coded as hyperglycemia. What about the DKA type 2 portion? We have 2 opinions in our office and I am just looking for the correct way to code it.
    I suspect for my scenario E11.65, E11.69 and E87.2. Please help.
    There really should be an E11.1X...LOL!!
    Thank you,
    Anna

  2. mitchellde

    Ketoacidosis is actually rare in a type 2 diabetic so that may be the reason for no specific code for it. So use the E11.69 with the E87.2

  3. amsmith

    Oddly, our physician's document it frequently. I will check with one of them to find out why we tend to have a higher volume.

  4. -> Continue reading
read more

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