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Icd 10 Code For Diabetic Macular Edema

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The transition strategy, tools and resources ICD-10 simplifies coding of diabetic renal, ophthalmic & neurologic manifestations Just one combination code, E11.311 (Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema), will sufficiently capture diabetic macular edema in ICD-10, whereas, in ICD-9, the condition requires three separate codes: 250.50 for the diabetes, 362.01 for background diabetic retinopathy and 362.07 for the diabetic macular edema. ICD-10 will simplify the coding of renal, ophthalmic and neurological diabetic manifestations, as most of these conditions, which require a minimum of two codes in ICD-9, are captured with single combination codes in the new code set. In fact, most of the time, the only additional code required when coding diabetic manifestations is that for insulin use (Z79.4, Long term (current) use of insulin) in patients with the type 2 form of the disease [I.C.4.a.3]. The ICD-10 codes that cover diabetes are found in Chapter 4 (Endocrine, nutritional and metabolic diseases) and range from the E08 (Diabetes mellitus due to underlying condition) to the E13 (Other specified diabetes mellitus) categories, depending on the Continue reading >>

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  1. Naonin

    Not only are there different types of LDL, it's not merely as simple as "small dense LDL is bad". There is some evidence that only when those small dense LDL particles become oxidized they are dangerous. What can cause oxidation? Well those same trans fats or oxidized unsaturated fats that you talked about.
    http://high-fat-nutrition.blogspot.com/2008/07/age-rage-and-ale-oxldl.html

  2. oryantge

    Thank you. Yep Also heating unstable oils will also oxidized. That's why you shouldn't cook non-animal oils, coconut oil is also very stable and can heat to about 375. Olive oil can be heated a little bit, but less than coconut oil.

  3. Obligatecarnivor

    This is what I was referring to ,about inflammation in my previous comment

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Get Ready For Icd-10 Changes

The one-year reprieve ends October 1. Heres what you can expect and how to prepare. About one year ago, we were concerned that chaos would occur and the claims processing system we rely on daily might collapse following the implementation of ICD-10. As we know, the system did not collapse and most claims were processed without incident. The most common challenges occurred with coverage for diagnostic tests like optical coherence tomography scans. Some Medicare contractors omitted or overlooked adding some of the new ICD-10 diagnosis codes to Local Coverage Determinations (LCDs) that spell out coverage for particular services like surgical or diagnostic procedures. In several areas, new diagnosis codes were not on the October 1, 2015, LCDs, causing erroneous denials. The contractors were responsive to medical societies and individuals and updated the LCDs accordingly. The Centers for Medicare & Medicaid Services (CMS) also stipulated in its July 2015 publication CMS and AMA Announce Efforts to Help Providers Get Ready for ICD-10 Frequently Asked Questions that, beginning October 1, 2015, they would not deny or audit claims as long as the diagnosis coding remained in the correct fam Continue reading >>

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  1. zic100

    Hello, I need help and advice because I've hit a 2 week plateau and I'm not sure what to do. I currently weight 228 and started at 237. I began a ketogenic diet because I had a very difficult time losing weight on a carb based diet. On the keto diet I was losing about 2.4 lbs a week and 4 lbs on the second week. I thought I finally found a diet that will work for me. My body type is the endo-meso type and seems to be leaning more towards the endo side then it used to in the past. I'm currently 25 so I don't want to say age is slowing me down but maybe it is? At 22 i dropped 30 lbs doing a calorie restricted diet with carbs but that no longer seems to be effective. Anyways, on week 4 of the keto diet I hit a stall and stayed constant at 228.4. I wasn't super worried because it seems to be common to stall in the 4th week. Today is the 5th week weigh in and I've stalled again for the second week in a row. Now I'm concerned I'm doing something wrong. Also, If I lose weight, I have a cheat meal once a week. This cheat meal is usually some form of fast food like pizza or burgers. For the first 3 weeks this cheat meal didn't seem to effect any weight loss but now I'm concerned that maybe I should remove it entirely? I'm currently eating 2100 calories with a macro split of 60% fat 35% protein and 5% carbs. In the third and 4th week I used a 75% fat 20% protein and 5% fat but switched after I hit my first stall. I'm aware of the factors that could stall keto
    1. Too much protein
    2. Cheese
    3. Coffee
    4. Stress
    ...And I'm sure there are probably more. My protein varies between 100g - 160g depending on how I do my macro splits . I drink my coffee black and have maybe 1 cup to 1.5 cups a day. I don't think this is a lot but I'm not sure. I like cheese because it is tasty and an easy way to add fat to a meal and it didn't seem to stall me for the first 3 weeks.. I wouldn't say I'm super stressed out so I don't think that is a factor. I weigh and log all the food I eat using a food scale so I know I'm not going overboard on portion control. I've also cut my exercise back to 2 days a week (weight-lifting). My food diary is public and would appreciate any advice or criticism on the foods that I"m eating. I'm not sure if I should cut my calories back further, raise my calories more, exercise more, or remove coffee and cheese, or some combination of these factors. Any advice would be appreciated.

  2. SLLRunner

    Zic,
    There is no such thing as a two week plateau. If you do not lose weight on any diet you are eating too much, mostly likely by underestimating food intake and overestimating calorie burns. However, weight loss is not linear and you could have simple old water retention. Give it more time.
    Also, your ticker says you have lost zero of 13 pounds. Sounds like you're just starting out.

  3. zic100

    This might be true, the only thing different was that I ran a little more in the first few weeks. I ran for 30 minutes about 2 - 3 times a week in addition to weight lifting twice a week. Calories were still at 2100 too. I can try introducing more cardio back and see if that helps. Trying to fix the ticker, its out of sync with my mobile app for some reason.

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Icd-10 Diagnosis Code E11.311

Diabetes means your blood glucose, or blood sugar, levels are too high. With type 2 diabetes, the more common type, your body does not make or use insulin well. Insulin is a hormone that helps glucose get into your cells to give them energy. Without insulin, too much glucose stays in your blood. Over time, high blood glucose can lead to serious problems with your heart, eyes, kidneys, nerves, and gums and teeth. You have a higher risk of type 2 diabetes if you are older, obese, have a family history of diabetes, or do not exercise. Having prediabetes also increases your risk. Prediabetes means that your blood sugar is higher than normal but not high enough to be called diabetes. The symptoms of type 2 diabetes appear slowly. Some people do not notice symptoms at all. The symptoms can include Blood tests can show if you have diabetes. One type of test, the A1C, can also check on how you are managing your diabetes. Many people can manage their diabetes through healthy eating, physical activity, and blood glucose testing. Some people also need to take diabetes medicines. NIH: National Institute of Diabetes and Digestive and Kidney Diseases Choose More than 50 Ways to Prevent Type 2 D Continue reading >>

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  1. nurseprnRN

    The hypokalemia comes when the patient gets treated with insulin, driving the glucose and K+ into the cells. The kidneys can't (and won't) move so much out through urine with the excess glucose to make for hypokalemia.

  2. Esme12

    There can be a brief period of hypoglycemia in the early stages of an elevated blood sugar (polyuria)....but by the time "ketoacidosis" sets in the Serum potassium is elevated but the cellular potassium is depleted (all that shifting that goes on)
    Diabetic ketoacidosis

  3. April2152

    So pretty much what we would observe clinically is hyperkalemia because the osmotic duiresis does not move serum potassium significantly?

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