Icd 10 Type 1 Diabetes With Retinopathy

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Icd-10 Diagnosis Code E10.9

Diabetes Type 1 Also called: Insulin-dependent diabetes, Juvenile diabetes, Type I diabetes Diabetes means your blood glucose, or blood sugar, levels are too high. With type 1 diabetes, your pancreas does not make insulin. 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. Type 1 diabetes happens most often in children and young adults but can appear at any age. Symptoms may include Being very thirsty Urinating often Feeling very hungry or tired Losing weight without trying Having sores that heal slowly Having dry, itchy skin Losing the feeling in your feet or having tingling in your feet Having blurry eyesight A blood test can show if you have diabetes. If you do, you will need to take insulin for the rest of your life. A blood test called the A1C can check to see how well you are managing your diabetes. NIH: National Institute of Diabetes and Digestive and Kidney Diseases A1C test (Medical Encyclopedia) Diabetes - low blood sugar - self-care (Medical Encyclopedia) Diabetes - test Continue reading >>

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    I have had great success with two rounds of Atkins in the past (each time losing over 50lb).
    But I have had two recent attempts to get back into the diet (on a quite rigorous induction regimen) and it is like the "mechanism" has broken. My body is not going into ketosis after 2 or even 3 weeks on the diet and (unsurprisingly) this is also reflected by lack of weight loss or measurements loss; and, indeed, on the latest attempt . . . I put ON three pounds. Whereas previously ketone strips were highly reactive (bright pink) they did not show ANY color at all after the induction periods. Obviously, absent the fat-burning, then a relatively fat-heavy intake is bound to result in weight gain. I also do not have that sense of increased energy that comes with being in fat-burning mode.
    It is almost as if my body has learned something about the diet and it will no longer cooperate with it. Either that, or it is something to do with being older (near 60).
    Has anyone else seen this phenomenon, and have they found any strategy to get around it.
    I always felt Atkins was a reliable way for me to be able to shed pounds, but without its "magic bullet" I feel rather lost as to what to try, as I have had very bad lucky with restrictive calorie (and other) diets.
    [ed. note: MICHAEL (2768058) last edited this post 8 months, 4 weeks ago.]

  2. Kathryn

    Ketostix are unreliable, throw them away and just follow the rules. If you do, then you have to be in ketosis because the body doesn't have carbs to burn for energy so it uses fat instead - if it didn't then you'd be dead!
    Putting on 3 pounds suggests that either you're eating too much, eating the wrong things or have some intolerance to something you're having. Without knowing what you eat on a typical day and how much you eat, then we can't really help. Post a list of what you're eating and we'll take a look.

  3. Ellen

    If you aren't getting into ketosis (and Kathryn is right about the ketostix) then somewhere you're taking in too many carbs and/or too much protein. If you are actually in ketosis but not losing...Or indeed gaining, then you are either sensitive to something you're eating...Like sweeteners for instance, or you are generally eating too much.
    Post a days menu with quantities and we'll take a look

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Charcot arthropathy, or neuropathic arthropathy, is a condition that affects some diabetic patients with peripheral neuropathy (loss of sensation) after eight to 10 years. Jean Martin Charcot was a French physician who in 1868 described neuropathic arthropathy primarily in patients with advanced syphilis. At that time, people with diabetes did not live very long because insulin was unavailable to treat diabetes. Once insulin was available and diabetes treatable, it was in the 1930s that neuropathic arthropathy was recognized in diabetics. It may also occur with several other diseases that affect the sensory nervous system (alcoholism, leprosy, syphilis, Charcot-Marie-Tooth Disease to name a few). In the United States, diabetes is the number-one cause.

Dm With Diabetic Arthropathy E10.61- E11.61-

DM w/OTHER SPECIFIED COMPLICATIONS DM II (E11) w/diab. Neuropathic arthropathy E10.610 E11.610 with other diab. Arthropathy E10.618 E11.618 DM with skin complications E10.62- E11.62- DM with diabetic Dermatitis E10.620 E11.620 E10.621 E11.621 E10.622 E11.622 DM with other skin complication E10.628 E11.628 DM with oral complications E10.63- E11.63- DM with periodontal disease E10.630 E11.630 DM with other oral complications E10.638 E11.638 DM with hypoglycemia E10.64- E11.64- with coma E10.641 E11.641 without coma E10.649 E11.649 DM with hyperglycemia E10.65 E11.65 E10.69 E11.69 DM with unspecified complications E10.8 E11.8 DM without complications E10.9 E11.9 Z79.4Insulin Use DM I (E10) DM with foot ulcer And site L97.4-,L97.5- DM with other skin ulcer And site L97.1- L97.9,L98.41-L98.49 DM with other specified complication And code for complication (Ex: Male erectile dysfunction, unsp.(N52.9) Code Diabetes Mellitus due to an underlying condition Code first the underlying condition E08 Drug or chemical induced DM Code first poisoning due to drug or toxin, if applicable (T36-T65 with 5th or 6th character 1-4 or 6) E09 E13 OTHER Other specified diabetes mellitus DM II (E11) DM w/diab Continue reading >>

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  1. SnowPetal

    Just wondering if I am the only one doing keto that is calorie counting as well?. Most people incuding on other sites aren't calorie counting whilst on keto. I have been reading studies on keto and a calorie controlled diet and the weightloss is definitely greater - which is why i'm doing it.

  2. thepapillon

    I am doing that as well... What amount are you keeping your calories? I did some reading and it looks like restricting the calories too much on a keto diet can make the weight loss slow down. I'm glad to hear you've found positive results. I can't say I'm complaining... I've only been doing the keto/calorie counting for 9 days... and I've lost 8 pounds.
    And though 8 pounds that quickly seems like a lot, or most likely water weight... I'm already fitting into my size 4 clothes, where I was an 8 before! So I'm content whether it be water weight or fat. LOL

  3. SnowPetal

    I'm sticking to 800 calories. Which for my body is what it needs to lose weight even with keto - my hormones are seriously stuffed!.
    Which studies said it can slow down weightloss? That doesn't make sense to me since starvation mode is a myth.

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Macular Degeneration 6 Natural Treatments for Macular Degeneration symptoms Macular Degeneration Macular Degeneration is the leading cause of vision loss, affecting more than 10 million Americans more than cataracts and glaucoma combined. At present, Macular Degeneration is considered an incurable eye disease. Macular Degeneration is caused by the deterioration of the central portion of the retina, the inside back layer of the eye that records the images we see and sends them via the optic nerve from the eye to the brain. The retinas central portion, known as the macula, is responsible for focusing central vision in the eye, and it controls our ability to read, drive a car, recognize faces or colors, and see objects in fine detail. One can compare the human eye to a camera. The macula is the central and most sensitive area of the so-called film. When it is working properly, the macula collects highly detailed images at the center of the field of vision and sends them up the optic nerve to the brain, which interprets them as sight. When the cells of the macula deteriorate, images are not received correctly. In early stages, macular degeneration does not affect vision. Later, if the disease progresses, people experience wavy or blurred vision, and, if the condition continues to worsen, central vision may be completely lost. People with very advanced macular degeneration are considered legally blind. Even so, because the rest of the retina is still working, they retain their peripheral vision, which is not as clear as central vision. Types of Macular Degeneration There are two basic types of Macular Degeneration: dry and wet. Approximately 85% to 90% of the cases of Macular Degeneration are the dry (atrophic) type, while 10-15% are the wet (exudative) type. Stargardt disease is a form of macular degeneration found in young people, caused by a recessive gene. Risk Factors The biggest risk factor for Macular Degeneration is age. Your risk increases as you age, and the disease is most likely to occur in those 55 and older. Other risk factors include: Genetics People with a family history of AMD are at a higher risk. Race Caucasians are more likely to develop the disease than African-Americans or Hispanics/Latinos. Smoking Smoking doubles the risk of AMD.

Top Icd-10-cm Changes: Diabetes, Glaucoma And Macular Degeneration

On October 1, 2016, changes to ICD-10-CM coding were implemented. While all of the code changes applicable for optometry are important, a few of the major changes are discussed in this article. Diabetic Ocular Complication Codes The first major change in ICD-10-CM codes for 2017 is for diabetic ocular complication coding. All of the DM retinopathy code choices will now specify which eye is impacted. Several new codes for proliferative diabetic retinopathy were also added. Note that a code for oral diabetic medication use (Z79.84) was added and should be used when applicable. The existing code to designate insulin use (Z79.4) was retained. Keep in mind that not all injectable diabetic medications are considered insulin. If a patient is on both oral medication and insulin, both of these medication codes should be used. The new codes for diabetic retinopathy apply to all the code categories, but only the E11.3 code section is detailed in this article so be sure to review the other categories if you are using them for any particular patient. The other categories include E08.3, E09.3, and E10.3. E11.3 Type 2 diabetes mellitus with ophthalmic complications All of the subcategories under 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

    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
    Dr.Ramnath Bandaru, CCS, CPC
    American Medical Services LLC
    Twitter: @HospitalCoders

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