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Icd 10 Diabetic Ketoacidosis Unspecified

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Data Element: Diagnostic Coding (diabetes Relevant Icd-10)

DIAGNOSTIC CODING (DIABETES RELEVANT ICD-10) Records the DIAGNOSTIC CODING identified in the following relevant conditions and complications associated with the diabetic condition: The list shows those conditions and complications currently extracted by QUIDS using data linkage to Hospital Episode Statistics (HES). ICD-10 Codes for relevant conditions and complications Insulin-dependent diabetes mellitus with ketoacidosis Non-insulin-dependent diabetes mellitus with ketoacidosis Other specified diabetes mellitus with ketoacidosis Unspecified diabetes mellitus with ketoacidosis Insulin-dependent diabetes mellitus with ketoacidosis and coma Non-insulin-dependent diabetes mellitus with ketoacidosis and coma Other specified diabetes mellitus with coma Acute transmural myocardial infarction of anterior wall Acute transmural myocardial infarction of inferior wall Acute transmural myocardial infarction of other sites Acute transmural myocardial infarction of unspecified site Subsequent myocardial infarction of anterior wall Subsequent myocardial infarction of inferior wall Subsequent myocardial infarction of other sites Subsequent myocardial infarction of unspecified site Intracerebral h 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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Icd-10 Version:2014

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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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 close
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Coding Tip Of The Month - August 2016 | Uasi

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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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