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Icd 10 Code For Dka Type 1

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Icd 10 Chapter 12 Endocrine And Chapter 15 Circulatory

A cause and effect relationship is presumed with all diabetic manifestations. Dehydration, volume depletion, and hypovolemia all classify to the same ICD-10-CM code. In ICD-10-CM there are only two category codes for diabetes mellitus. In ICD-10-CM, if the diabetes is due to an adverse effect of a drug, there is an Instructional note to assign a T36-T50 code as an additional or secondary code. ____ is a condition that results in excessive circulating cortisol levels. The ____ is responsible for the "fight or flight" response during stress. A patient is admitted because of uncontrolled diabetes resulting from Cushing's syndrome. Patient is on insulin. Patient was admitted for a total thyroidectomy. Patient had been having progressive symptoms with a substernal multinodular goiter. The procedure was performed as planned. Pathology confirmed a multinodular goiter. Patient is an elderly gentleman who was admitted from the ER with pain and swelling of his right knee. The pain is throbbing in nature, and the knee feels warm and is very tender to touch. The patient has a knee x-ray, and uric acid levels are elevated. Colchicine is started, and the patient's symptoms are much improved wit 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.

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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.pinter

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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2017/18 Icd-10-cm Diagnosis Code E10.69

Type 1 diabetes mellitus with other specified complication E10.69 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018 edition of ICD-10-CM E10.69 became effective on October 1, 2017. This is the American ICD-10-CM version of E10.69 - other international versions of ICD-10 E10.69 may differ. Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used 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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