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Icd 10 Code For Diabetic Ketoacidosis

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Quick search helps you quickly navigate to a particular category. It searches only titles, inclusions and the index and it works by starting to search as you type and provide you options in a dynamic dropdown list. You may use this feature by simply typing the keywords that you're looking for and clicking on one of the items that appear in the dropdown list. The system will automatically load the item that you've picked. You may use wildcards '*' as well to find similar words or to simply save some typing. For example, tuber* confirmed will hit both tuberculosis and tuberculous together with the word 'confirmed' If you need to search other fields than the title, inclusion and the index then you may use the advanced search feature You may also use ICD codes here in order to navigate to a known ICD category. The colored squares show from where the results are found. (green:Title, blue:inclusions, orange:index, red:ICD code) You don't need to remeber the colors as you may hover your mouse on these squares to read the source. Continue reading >>

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  1. Dm 2 with ketoacidosis

    I had a case to code a couple of days ago; patient had "diabetic ketoacidosis." There was no description as to the type of diabetes, so I went with type 2. At this point, I noticed there are combination codes for DM 1, DM due to drug or chemical, due to underlying condition and specified type NEC, but there is no combination code for DM 2 with ketoacidosis. I coded it as DM 2 with complication NEC E11.69 and Ketoacidosis E87.2. The doctor gave an additional diagnosis of lactic acidosis, which is also coded as E87.2. Does anyone have any insights on a better way to code this, or the rationale of not having a combination code for DM type 2 with ketoacidosis? (Incidentally, the patient also had urogenital warts, severe sepsis present on admission, and there was no mention of any kind kidney malfunction.)

  2. I found an answer on another thread that indicated to go with "DM specified type NEC with ketoacidosis (without coma) E13.10" instead of DM 2 with complication NEC E11.69 and ketoacidosis E87.2 (even though the type of diabetes is not specified); seems strange, but I guess that's what I'll do if it ever comes up again.

  3. rbandaru

    Hello,
    As per coding Clinic Diabetic with ketoacidosis code is E13.10 below is reference from coding Clinic.
    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
    Regards
    Dr.Ramnath Bandaru, CCS, CPC
    American Medical Services LLC
    http://amshealth.com/
    Twitter: @HospitalCoders

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

2018 Icd-10 Update Part 3: New Codes For Diabetes, Myopia Start October 1st

2018 ICD-10 Update Part 3: New Codes for Diabetes, Myopia Start October 1st | 2018 ICD-10 Update Part 3: New Codes for Diabetes, Myopia Start October 1st September 28, 2017 | Rhonda Buckholtz, CPC, CPCI, CPMA, CDEO, CRC, CHPSE, COPC, CENTC, CPEDC, CGSC, VP of Practice Optimization, Eye Care Leaders Like most eye care practices, you likely treat patients with co-morbid conditions. The patient population of many practices is often older than average, and many times chronically ill. So, correctly coding for co-morbidity is essential in avoiding costly revenue leaks that could drain cash from your practice. Recent studies have shown that the number of type 2 patients presenting with diabetic ketoacidosis has been increasing, and thats one reason for the new DKA codes. Prior to the 2018 revisions, the best coding option to describe a patient with type 2 DKA was E11.69 (Type 2 diabetes mellitus with other specified complication). Beginning October 1, 2017, youll see a new subdivision among the E11 (Type 2 diabetes mellitus) codes: E11.1 (Type 2 diabetes mellitus with ketoacidosis). This new subdivision includes two codes: Other DKA-related additions occur in the following code series: E 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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Coding Tip: Reporting Diabetic Ketoacidosis (dka)

Coding Tip: Reporting Diabetic Ketoacidosis (DKA) How do coders report diabetic ketoacidosis in ICD-10-CM? For FY2018 there is a new code to report Type 2 diabetic ketoacidosis (DKA). This was previously reported with code E13.1-, other specified diabetes mellitus with ketoacidosis with or without coma. Now, there is a code specifically for reporting this diagnosis. E11.1- is used to report Type 2 diabetes with DKA with or without coma. DKA is life threatening complication in patients with diabetes. This typically occurs in patients with type 1 diabetes but can also be found in patients with type 2. When a patient has DKA it is implied that they also have hyperglycemia so no additional code is needed to report that the diabetes is with hyperglycemia. A separate standalone code for hyperglycemia is also not reported and there is an excludes1 note in the tabular. DKA occurs when the body produces high levels of blood acids known as ketones. This develops when the body isnt producing enough insulin. When the body does not produce or have enough insulin, the body begins to break down fat as fuel. When the body switches to burning fat this produces a buildup of acids that are called ke 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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