diabetestalk.net

Icd 9 Diabetes Type 2

Type 2 Diabetes Mellitus Without Complications

Type 2 Diabetes Mellitus Without Complications

ICD-10: E11.9 Short Description: Type 2 diabetes mellitus without complications Long Description: Type 2 diabetes mellitus without complications This is the 2018 version of the ICD-10-CM diagnosis code E11.9 Valid for Submission The code E11.9 is valid for submission for HIPAA-covered transactions. Code Classification Endocrine, nutritional and metabolic diseases (E00–E90) Diabetes mellitus (E08-E13) Type 2 diabetes mellitus (E11) Code Edits The following edits are applicable to this code: Questionable admission codes Convert to ICD-9 Synonyms Acquired acanthosis nigricans Brittle diabetes mellitus Brittle type II diabetes mellitus Diabetes mellitus Diabetes mellitus in remission Diabetes mellitus type 2 Diabetes mellitus type 2 in nonobese Diabetes mellitus type 2 without retinopathy Diabetes mellitus without complication Diabetic - good control Diabetic on diet only Diabetic on insulin Hemoglobin A1C - diabetic control finding Hemoglobin A1C - diabetic control finding Hemoglobin A1C - diabetic control finding Hemoglobin A1c between 7%-10% indicating borderline diabetic control Hemoglobin A1c greater than 10% indicating poor diabetic control Hemoglobin A1c less than 7% indicating good diabetic control Insulin treated type 2 diabetes mellitus Maturity onset diabetes of the young, type 2 Megaloblastic anemia, thiamine-responsive, with diabetes mellitus and sensorineural deafness Newly diagnosed diabetes Photomyoclonus, diabetes mellitus, deafness, nephropathy and cerebral dysfunction Pre-existing type 2 diabetes mellitus Type 2 diabetes mellitus controlled by diet Type 2 diabetes mellitus with acanthosis nigricans Type II diabetes mellitus in remission Type II diabetes mellitus well controlled Type II diabetes mellitus without complication Diabetes Type 2 Also called: Continue reading >>

Icd-9 Cm Icd-10 Cm Diabetic Retinopathy:

Icd-9 Cm Icd-10 Cm Diabetic Retinopathy:

background 362.01 E10.311 Type 1 with macular edema E10.319 Type 1 without macular edema E11.311 Type 2 with macular edema E11.319 Type 2 without macular edema E13.311 other specified types of diabetes mellitus with unspecified diabetic retinopathy with macular edema E13.319 other specified types of diabetes mellitus with unspecified diabetic retinopathy without macular edema proliferative 362.02 E10.351 Type 1 with macular edema E10.359 Type 1 without macular edema E11.351 Type 2 with macular edema E11.359 Type 2 without macular edema E13.351 other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema E13.359 other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema nonproliferative, NOS nonproliferative, mild 362.03 362.04 E10.321 Type 1 with macular edema E10.329 Type 1 without macular edema E11.321 Type 2 with macular edema E11.329 Type 2 without macular edema E13.321 other specified types of diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema E13.329 other specified types of diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema nonproliferative, moderate 362.05 E10.331 Type 1 with macular edema E10.339 Type 1 without macular edema E11.331 Type 2 with macular edema E11.339 Type 2 without macular edema E13.331 other specified types of diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema E13.339 other specified types of diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema nonproliferative, severe 362.06 E10.341 Type 1 with macular edema E10.349 Type 1 without macular edema E11.341 Type 2 with macular edema E11.349 Type 2 without macular edema E13.341 other sp Continue reading >>

Diabetes Mellitus Coding Training For Family Practice Residents | The Journal Of The American Osteopathic Association

Diabetes Mellitus Coding Training For Family Practice Residents | The Journal Of The American Osteopathic Association

Diabetes Mellitus Coding Training for Family Practice Residents *Address correspondence to Geraldine N. Urse, DO, MHPEd, Director of Medical Education, Doctors Hospital Family Practice, 5100 W Broad St, Columbus, OH 43228-1607. [email protected] Endocrinology / Medical Education / Diabetes / Graduate Medical Education Diabetes Mellitus Coding Training for Family Practice Residents The Journal of the American Osteopathic Association, July 2015, Vol. 115, 426-431. doi:10.7556/jaoa.2015.088 The Journal of the American Osteopathic Association, July 2015, Vol. 115, 426-431. doi:10.7556/jaoa.2015.088 Urse GN. Diabetes Mellitus Coding Training for Family Practice Residents. J Am Osteopath Assoc 2015;115(7):426431. doi: 10.7556/jaoa.2015.088. Diabetes Mellitus Coding Training for Family Practice Residents You will receive an email whenever this article is corrected, updated, or cited in the literature. You can manage this and all other alerts in My Account Context: Although physicians regularly use numeric coding systems such as the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) to describe patient encounters, coding errors are common. One of the most complicated diagnoses to code is diabetes mellitus. The ICD-9-CM currently has 39 separate codes for diabetes mellitus; this number will be expanded to more than 50 with the introduction of ICD-10-CM in October 2015. Objective: To assess the effect of a 1-hour focused presentation on ICD-9-CM codes on diabetes mellitus coding. Methods: A 1-hour focused lecture on the correct use of diabetes mellitus codes for patient visits was presented to family practice residents at Doctors Hospital Family Practice in Columbus, Ohio. To assess resident knowledge of the topic, a pretest an Continue reading >>

Diabetes Mellitus Without Mention Of Complication, Type Ii Or Unspecified Type, Not Stated As Uncontrolled

Diabetes Mellitus Without Mention Of Complication, Type Ii Or Unspecified Type, Not Stated As Uncontrolled

Approximate Synonyms Abnormal metabolic state in diabetes mellitus Acrorenal field defect, ectodermal dysplasia, and lipoatrophic diabetes Brittle diabetes mellitus Brittle type II diabetes mellitus Diabetes in childbirth Diabetes in pregnancy Diabetes mellitus Diabetes mellitus autosomal dominant type II Diabetes mellitus in childbirth Diabetes mellitus in mother complicating pregnancy, childbirth AND/OR puerperium Diabetes mellitus in the puerperium - baby delivered during current episode of care Diabetes mellitus induced by non-steroid drugs Diabetes mellitus induced by non-steroid drugs without complication Diabetes mellitus type 2 Diabetes mellitus type 2 in nonobese Diabetes mellitus type 2 in obese Diabetes mellitus type 2 without retinopathy Diabetes mellitus without complication Diabetes type 2 Diabetes type 2 controlled with diet Diabetes type 2 on insulin Diabetes type 2 with hyperglycemia Diabetes type 2, controlled Diabetes type 2, uncomplicated Diabetes type 2, without retinopathy Diabetic foot exam Diabetic foot exam done Diabetic on diet only Diabetic on oral treatment Dm 2 DM 2 controlled by diet DM 2 on insulin DM 2 w hyperglycemia DM 2 wo complications DM 2 wo diabetic retinopathy DM 2, controlled DM 2, diet controlled DM 2, WO retinopathy DM in childbirth DM in pregnancy Foot abnormality - diabetes-related Gestational diabetes mellitus Glucose tolerance test indicates diabetes mellitus Hyperglycemia due to type 2 diabetes mellitus Insulin-treated non-insulin-dependent diabetes mellitus Latent autoimmune diabetes mellitus in adult Lipodystrophy, partial, with Rieger anomaly, short stature, and insulinopenic diabetes mellitus Maternal diabetes postpartum (after childbirth) complication Maturity onset diabetes mellitus in young Maturity onset diabetes o Continue reading >>

Diabetes Complications Severity Index (dcsi)—update And Icd-10 Translation

Diabetes Complications Severity Index (dcsi)—update And Icd-10 Translation

The Diabetes Complications Severity Index (DCSI) converts diagnostic codes and laboratory results into a 14-level metric quantifying the long-term effects of diabetes on seven body systems. Adoption of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) necessitates translation from ICD-9-CM and creates refinement opportunities. ICD-9 codes for secondary and primary diabetes plus all five ICD-10 diabetes categories were incorporated into an updated tool. Additional modifications were made to improve the accuracy of severity assignments. In the type 2 subpopulation, prevalence steadily declined with increasing score according to the updated DCSI tool, whereas the original tool resulted in an aberrant local prevalence peak at DCSI = 2. In the type 1 subpopulation, score prevalence was greater in type 1 versus type 2 subpopulations (3 versus 0) according to both instruments. Both instruments predicted current-year inpatient admissions risk and near-future mortality, using either purely ICD-9 data or a mix of ICD-9 and ICD-10 data. While the performance of the tool with purely ICD-10 data has yet to be evaluated, this updated tool makes assessment of diabetes patient severity and complications possible in the interim. Fig. 2. Prevalence and change in current-year admission risk by DCSI score; type 1 diabetes. NOTE: The intercept value for the admissions risk model, which is equivalent to admissions per 1000 for individuals with DCSI = 0, was 73.8 per 1000 (Young), 73.6 (updated DCSI, October 2014–September 2015), and 65.6 (updated DCSI, February 2015–January 2016). Type 2 diabetes mellitus is the most common form of diabetes and is currently a major worldwide cause of morbidity and mortality. This is likely to worsen, given th Continue reading >>

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

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/diabetic neuropathy, unsp E10.40 E11.40 DM w/diabetic mononeuropathy E10.41 E11.41 DM w/diabetic polyneuropathy w/diabetic neuralgia E10.42 E11.42 DM w/diabetic autonomic (poly)neuropathy w/diabetic gastroparesis E10.43 E11.43 DM w/diabetic amyotrophy E10.44 E11.44 DM w/other diabetic neurological complication E10.49 E11.49 DM I (E10)NEUROLOGICAL DM w/neurological complications DM II (E11) DM w/diabetic periph.angiopathy without gangrene E10.51 E11.51 DM w/diabetic periph.angiopathy with gangrene E10.52 E11.52 DM w/other circulatory complication E10.59 E11.59 DM I (E10)CIRCULATORY DM w/circulatory Continue reading >>

Type 2 Diabetes Mellitus Without Complications

Type 2 Diabetes Mellitus Without Complications

The ICD code E11 is used to code Hyperosmolar hyperglycemic state Hyperosmolar hyperglycemic state (HHS) is a complication of diabetes mellitus (predominantly type 2) in which high blood sugars cause severe dehydration, increases in osmolarity (relative concentration of solute) and a high risk of complications, coma and death. It is diagnosed with blood tests. It is related to diabetic ketoacidosis (DKA), another complication of diabetes more often (but not exclusively) encountered in people with type 1 diabetes; they are differentiated with measurement of ketone bodies, organic molecules that are the underlying driver for DKA but are usually not detectable in HHS. MeSH Codes: D006944, D048909, D048909, D048909, D048909, D048909, D048909, D048909, D048909, D048909 ICD 9 Codes: 250.2, 250.1, 250.2, 250.3, 250.4, 250.5, 250.6, 250.7, 250.8, 250.9 This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code E11.9 and a single ICD9 code, 250.00 is an approximate match for comparison and conversion purposes. Continue reading >>

Diabetes Mellitus Icd-10 Case Study | Practice Fusion

Diabetes Mellitus Icd-10 Case Study | Practice Fusion

A 40-year-old male presents in his physicians office with complaints of new onset of excessive thirst, urinary frequency and fatigue. His physician ran several tests and based on the results he diagnosed his patient with Type 2 diabetes mellitus. The value of describing patient conditions with ICD-10 codes as compared to ICD-9 codes is made evident when comparing codes available for specific conditions. A common disease affecting millions of patients is diabetes mellitus. According to the American Diabetes Association, Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. The chronic hyperglycemia of diabetes is associated with long-term damage, dysfunction, and failure of various organs, especially the eyes, kidneys, nerves, heart, and blood vessels. In spite of the significant prevalence of this disease, ICD-9 codes describing this condition lack specificity, resulting in the lumping of many patients into broad categories that are not as useful for comparisons and quality measures as ICD-10 codes will be once implemented. Patients with diabetes mellitus are most often described with two ICD-9 codes. ICD-9 codes in the 250xx series describe primary diabetes of all types. Codes in the 249xx group describe secondary diabetes without information regarding the underlying cause of the diabetes. Each series includes a general description of a few complications that may be associated with this disease without detailed descriptions of those complications. These codes lack the specificity necessary to fully document patients medical conditions. The ICD-10 Index includes approximately six pages of specific listings for diabetes and its various clinical manifestations. Almost all of Continue reading >>

Coding For Diabetes Mellitus

Coding For Diabetes Mellitus

For The Record Vol. 23 No. 19 P. 27 In type 1 diabetes mellitus (DM), beta cells are destroyed by an autoimmune process that usually leads to a complete loss of insulin production. The majority of patients who develop type 1 DM will do so prior to age 25, with an increased prevalence due to heredity or in patients with other autoimmune diseases. Type 1 DM patients are dependent on insulin. In type 2 DM, the pancreas continues to produce insulin but doesn’t produce enough and doesn’t utilize it properly (insulin resistance). Secondary diabetes is diabetes or glucose intolerance that develops from disorders or conditions other than type 1 or type 2 diabetes or gestational diabetes. Secondary diabetes may bring out primary diabetes in people who are predisposed to developing primary diabetes. Common causes of secondary diabetes include but are not limited to pancreatitis, pancreatectomy; malnutrition, endocrinopathies, and drugs, chemical agents, and toxins. DM is assigned to ICD-9-CM category 250. Secondary diabetes is classified to category 249. When the physician documents DM, additional documentation is necessary to completely classify the condition: type 1 vs. type 2, uncontrolled vs. controlled, and manifestations associated with the condition, if any. The fourth-digit subcategory identifies any condition or manifestation associated with diabetes. The fifth-digit subclassification refers to type 1 or type 2 DM and whether it is controlled or uncontrolled. DM defaults to type 2 if not specifically documented, as this is the most common type. The fact that the patient receives insulin during the hospital stay has no effect on diabetes classification (AHA Coding Clinic for ICD-9-CM, 2005, first quarter, page 44). Uncontrolled diabetes is a nonspecific term indicatin Continue reading >>

2014 Icd-9-cm Diagnosis Codes

2014 Icd-9-cm Diagnosis Codes

(dye-a-bee-teez) a disease in which the body does not properly control the amount of sugar in the blood. As a result, the level of sugar in the blood is too high. This disease occurs when the body does not produce enough insulin or does not use it properly. A disease in which the body does not control the amount of glucose (a type of sugar) in the blood and the kidneys make a large amount of urine. This disease occurs when the body does not make enough insulin or does not use it the way it should. A heterogeneous group of disorders characterized by hyperglycemia and glucose intolerance. A metabolic disorder characterized by abnormally high blood sugar levels due to diminished production of insulin or insulin resistance/desensitization. Diabetes is a disease in which your blood glucose, or sugar, levels are too high. Glucose comes from the foods you eat. Insulin is a hormone that helps the glucose get into your cells to give them energy. With type 1 diabetes, your body does not make insulin. With type 2 diabetes, the more common type, your body does not make or use insulin well. Without enough insulin, the glucose stays in your blood.over time, having too much glucose in your blood can cause serious problems. It can damage your eyes, kidneys, and nerves. Diabetes can also cause heart disease, stroke and even the need to remove a limb. Pregnant women can also get diabetes, called gestational diabetes.a blood test can show if you have diabetes. Exercise, weight control and sticking to your meal plan can help control your diabetes. You should also monitor your glucose level and take medicine if prescribed. nih: national institute of diabetes and digestive and kidney diseases Diabetes mellitus Heterogeneous group of disorders that share glucose intolerance in common. Type 2 Continue reading >>

A Closer Look: Documentation And Coding For Diabetes Diagnoses

A Closer Look: Documentation And Coding For Diabetes Diagnoses

In last month’s Blue Review, we took a closer look at documentation and coding for pulmonary diagnoses as part of our effort to provide more information that may help with the transition to ICD-10, Risk Adjustment and more. This month, we look at diabetes, a group of metabolic diseases that includes chronic and short-term conditions such as diabetes mellitus, gestational diabetes and impaired glucose tolerance. The conditions that fall under this category can sometimes be asystematic and other times can develop complications. It is imperative that documentation is specific and accurate to facilitate accurate, complete and compliant diagnosis code assignment. On October 1, 2014, the health care industry will transition from ICD-9-CM to ICD-10-CM/PCS for diagnoses and inpatient procedure coding. It is essential to take note of the key differences in coding in ICD-9-CM versus the ICD-10-CM/PCS code sets. The goal of this article is to review documentation and diagnosis coding for conditions that fall under the diabetes umbrella to achieve accurate and compliant practices. Diabetes Mellitus Diabetes mellitus (DM) is a disease in which the body fails to properly produce or use insulin. Diabetes mellitus is divided into two categories: Type 1, insulin-dependent DM (IDDM), previously referred to as “juvenile diabetes,” and Type 2, non-insulin-dependent DM (NIDDM) previously referred to as “adult-onset diabetes.” ICD-9-CM code structure classifies diabetes into a single code category, 250. Accurate code assignment required determination of specific fourth- and fifth-digit sub-classifications. The fourth digit provides details regarding the presence of manifestations or complications due to diabetes, while the fifth digit indicates whether the diabetes is controlled or Continue reading >>

©october 2016 Academy Of Nutrition And Dietetics

©october 2016 Academy Of Nutrition And Dietetics

ICD-9-CM/ICD-10-CM Codes for MNT ICD (International Classification of Diseases) codes are used by physicians and medical coders to assign medical diagnoses to individual patients. It is not within the scope of practice of a registered dietitian nutritionist (RDN) to make a medical diagnosis. The only exception is in the case of BMI codes which represent a mathematical calculation based on measurements that are within the RDN’s scope of practice to perform. RDNs may use this list to customize paper and electronic forms within their MNT practices to facilitate referrals for MNT services and the development of super bills. Due to the large increase in the number of diagnosis codes in the ICD-10-CM code set as compared to the ICD-9-CM code set, mapping is not a straightforward correlation between codes of the two classification systems. In certain circumstances, the relationships and linkages between code sets are fairly close – at times a one-to-one correlation. However, in many cases, this direct linkage is not possible. The ICD-9-CM and ICD-10-CM codes listed below are a representative list of diagnosis codes for which individuals may be referred to a registered dietitian nutritionist (RDN) for care. Diagnoses were chosen for inclusion based on data collected through the Academy’s 2013 Coding Survey on diagnoses for which RDNs most frequently receive reimbursement. The list is not meant to be all-inclusive. Additional ICD-10- CM codes can be found at GEMs.html. All of the ICD-10-CM codes listed below have additional digits available to provide more specificity to the diagnosis. In designing forms for use in an MNT practice, RDNs should add space for the physician/physician office to include additional digits at the end of the ICD-10-CM codes as they Continue reading >>

Icd-10 Codes For Diabetes

Icd-10 Codes For Diabetes

There's More Than One Type Of Diabetes... I'm pretty sure all of you who made it thus far in this article are familiar with the fact that there are at least two major types of diabetes: type I, or juvenile, and type II, with usual (though not mandatory) adult onset. Just like ICD-9, ICD-10 has different chapters for the different types of diabetes. The table below presents the major types of diabetes, by chapters, in both ICD coding versions. Diabetes Coding Comparison ICD-9-CM ICD-10-CM 249._ - Secondary diabetes mellitus E08._ - Diabetes mellitus due to underlying condition E09._ - Drug or chemical induced diabetes mellitus E13._ - Other specified diabetes mellitus 250._ - Diabetes mellitus E10._ - Type 1 diabetes mellitus E11._ - Type 2 diabetes mellitus 648._ - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium O24._ - Gestational diabetes mellitus in pregnancy 775.1 - Neonatal diabetes mellitus P70.2 - Neonatal diabetes mellitus This coding structure for diabetes in ICD-10 is very important to understand and remember, as it is virtually always the starting point in assigning codes for all patient encounters seen and treated for diabetes. How To Code in ICD-10 For Diabetes 1. Determine Diabetes Category Again, "category" here refers to the four major groups above (not just to type 1 or 2 diabetes): E08 - Diabetes mellitus due to underlying condition E09 - Drug or chemical induced diabetes mellitus E10 - Type 1 diabetes mellitus E11 - Type 2 diabetes mellitus E13 - Other specified diabetes mellitus Note that, for some reason, E12 has been skipped. Instructions on Diabetes Categories Here are some basic instructions on how to code for each of the diabetes categories above: E08 - Diabetes mellitus due to underlying condition. Here, it is Continue reading >>

Systematic Review Of Validated Case Definitions For Diabetes In Icd-9-coded And Icd-10-coded Data In Adult Populations

Systematic Review Of Validated Case Definitions For Diabetes In Icd-9-coded And Icd-10-coded Data In Adult Populations

Go to: Abstract With steady increases in ‘big data’ and data analytics over the past two decades, administrative health databases have become more accessible and are now used regularly for diabetes surveillance. The objective of this study is to systematically review validated International Classification of Diseases (ICD)-based case definitions for diabetes in the adult population. Setting, participants and outcome measures Electronic databases, MEDLINE and Embase, were searched for validation studies where an administrative case definition (using ICD codes) for diabetes in adults was validated against a reference and statistical measures of the performance reported. Results The search yielded 2895 abstracts, and of the 193 potentially relevant studies, 16 met criteria. Diabetes definition for adults varied by data source, including physician claims (sensitivity ranged from 26.9% to 97%, specificity ranged from 94.3% to 99.4%, positive predictive value (PPV) ranged from 71.4% to 96.2%, negative predictive value (NPV) ranged from 95% to 99.6% and κ ranged from 0.8 to 0.9), hospital discharge data (sensitivity ranged from 59.1% to 92.6%, specificity ranged from 95.5% to 99%, PPV ranged from 62.5% to 96%, NPV ranged from 90.8% to 99% and κ ranged from 0.6 to 0.9) and a combination of both (sensitivity ranged from 57% to 95.6%, specificity ranged from 88% to 98.5%, PPV ranged from 54% to 80%, NPV ranged from 98% to 99.6% and κ ranged from 0.7 to 0.8). Overall, administrative health databases are useful for undertaking diabetes surveillance, but an awareness of the variation in performance being affected by case definition is essential. The performance characteristics of these case definitions depend on the variations in the definition of primary diagnosis in ICD-cod Continue reading >>

Concept: Diabetes In Pregnancy - Differentiating Between Maternal Pre-gestational Diabetes And Gestational Diabetes

Concept: Diabetes In Pregnancy - Differentiating Between Maternal Pre-gestational Diabetes And Gestational Diabetes

Concept: Diabetes in Pregnancy - Differentiating Between Maternal Pre-Gestational Diabetes and Gestational Diabetes This concept provides background information, definitions and diagnostic codes for discriminating between pre-gestational diabetes and gestational diabetes . Reliance on the use of ICD 9-CM and ICD-10-CA codes for discrimination between pre-gestational and gestational diabetes is problematic in administrative data as not all diabetes diagnosed in pregnancy is gestational diabetes. Diagnosis of diabetes in pregnancy prior to 21 weeks gestation most likely represents undiagnosed pre-gestational diabetes, not gestational diabetes itself. This is important as the timing of hyperglycemia influences the fetal and maternal outcomes expected. This definition relies on the timing of diagnosis rather than the ICD-9-CM and ICD-10-CA code itself as diabetes first diagnosed in pregnancy is often termed and coded as gestational diabetes when it may not strictly be so. Gestational diabetes is a risk factor for subsequent type 2 diabetes and probably exists on a continuum in at risk individuals. Additionally the diagnosis of gestational diabetes is hampered in ICD-9-CM as the 4th digit is required to discriminate from other complications of pregnancy. Standards exist for administrative data diagnosis of types 1 and 2 diabetes but not for gestational diabetes. A woman is considered to have pre-gestational diabetes if at any time from 2 years before her pregnancy start date OR prior to 21 weeks gestation she had: One or more hospitalizations (from the Hospital Abstracts data) with a diagnosis of diabetes: ICD-9-CM codes 250, 648.0, 648.8; ICD-10-CA codes E10-E14, O24, P70.0, P70.1, R73.0 OR Two or more physician visits (from the Medical Services data) with a diagnosis of d Continue reading >>

More in ketosis