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Ketoacidosis Icd 10

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Chronic Disease Management Mapping For Icd-10 Diabetes

ICD10 Issues Disease Registry mapping for Diabetes.csv text/comma-separated-values, 22 kB (23196 bytes) Code Type,Code,Description,Code Type,Code,DescriptionICD-10,E100 ,Type 1 diabetes mellitus with coma ,ICD-10,E149 ,Unspecified diabetes mellitus without (mention of) complication ICD-10,E1010 ,Type 1 diabetes mellitus with ketoacidosis ,ICD-10,E149 ,Unspecified diabetes mellitus without (mention of) complication ICD-10,E1011 ,Type 1 diabetes mellitus with lactic acidosis ,ICD-10,E149 ,Unspecified diabetes mellitus without (mention of) complication ICD-10,E1012 ,Type 1 diabetes mellitus with ketoacidosis with lactic acidosis ,ICD-10,E149 ,Unspecified diabetes mellitus without (mention of) complication ICD-10,E1020 ,Type 1 diabetes mellitus with incipient diabetic nephropathy ,ICD-10,E149 ,Unspecified diabetes mellitus without (mention of) complication ICD-10,E1021 ,Type 1 diabetes mellitus with established diabetic nephropathy ,ICD-10,E149 ,Unspecified diabetes mellitus without (mention of) complication ICD-10,E1022 ,Type 1 diabetes mellitus with end-stage renal disease [ESRD] ,ICD-10,E149 ,Unspecified diabetes mellitus without (mention of) complication ICD-10,E1028 ,Type 1 diabe 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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Here's a quick video tutorial on how to translate ICD-9 codes into ICD-10.

Invokamet - Coverage Resources - Icd-10 Support | Janssen Carepath

Easy access to the information you may need If youre a provider, youll want to get familiar with billing codes that went into effect October 1, 2015. While sample ICD-9-CM codes have been mapped to the latest ICD-10-CM codes so that coders can become familiar with the new codes, the ultimate responsibility for correct coding lies with the provider of services. The codes included in the charts below are not intended to be promotional, or toencourage or suggest a use of any drug that is inconsistent with FDA-approved use. Please refer to the current policy for the latest codes since these codes are subject to change. The codes provided are not intended to be exhaustive. Please consult your ICD-10 code book for additional information. Third-party reimbursement is affected by many factors. The content provided is for informational purposes only and is not intended to provide reimbursement or legal advice and does not promise or guarantee coverage, levels of reimbursement, payment, or charge. Similarly, all CPT* and HCPCS codes are supplied for informational purposes only and represent no promise or guarantee that these codes will be appropriate or that reimbursement will be made. It i 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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Diabetes With Ketoacidosis, Type Ii Or Unspecified Type, Uncontrolled

Short description: DMII ketoacd uncontrold. ICD-9-CM 250.12 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 250.12 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). 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

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