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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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Popular Questions

  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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2018 Icd-10-cm: A Preview Of Urgent Care-relevant Changes

2018 ICD-10-CM: A Preview of Urgent Care-Relevant Changes Posted On August 28, 2017 By Stuart Williams In Practice Management , Revenue Cycle Management 2018 ICD-10-CM: A Preview of Urgent Care-Relevant Changes Its again time to review what has changed with the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) effective October 1, 2017 through September 30, 2018. There are 360 new, 142 deleted, and 226 revised diagnosis codes in the final update. We will review the changes most relevant to urgent care, but the examples shown here are not all-inclusive. You can find all updates in the Centers for Medicare and Medicaid Services (CMS) website at . Code A04.7 was deleted to make room for two new codes that further specify if the episode of enterocolitis is recurrent or not: 71, Enterocolitis due to Clostridium difficile, recurrent 72, Enterocolitis due to Clostridium difficile, not specified as recurrent Code C96.2 was deleted, and the category was expanded to further specify findings for malignant mast cell tumors: 20, Malignant mast cell neoplasm, unspecified Two codes were added for type 2 diabetes: 10, Type 2 diabetes mellitus with ketoaci 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.

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Draft Icd-10-cm/pcs Ms-drgv28 Definitions Manual

Draft ICD-10-CM/PCS MS-DRGv28 Definitions Manual MDC 10 Endocrine, Nutritional & Metabolic Diseases & Disorders Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) Diabetes mellitus due to underlying condition with hyperosmolarity with coma Diabetes mellitus due to underlying condition with ketoacidosis without coma Diabetes mellitus due to underlying condition with ketoacidosis with coma Diabetes mellitus due to underlying condition with other diabetic arthropathy Diabetes mellitus due to underlying condition with diabetic dermatitis Diabetes mellitus due to underlying condition with foot ulcer Diabetes mellitus due to underlying condition with other skin ulcer Diabetes mellitus due to underlying condition with other skin complications Diabetes mellitus due to underlying condition with periodontal disease Diabetes mellitus due to underlying condition with other oral complications Diabetes mellitus due to underlying condition with hypoglycemia with coma Diabetes mellitus due to underlying condition with hypoglycemia without coma Diabetes mellitus due to underlying condition with hyperglycemia Diabetes mellit 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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