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Type 2 Diabetes Mellitus With Diabetic Ketoacidosis Icd 10 Code

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Type Ii Diabetes With Ketoacidoses

If this is your first visit, be sure to check out the FAQ & read the forum rules . To view all forums, post or create a new thread, you must be an AAPC Member . If you are a member and have already registered for member area and forum access , you can log in by clicking here . If you've forgotten your username or password use our password reminder tool . To start viewing messages, select the forum that you want to visit from the selection below. there is a code for type I diabetes but not type II...i wanted to use E11.69 and E13.10...but im not sure Newport News Penninsula Professional Coders Coding Clinic instructs to use only E13.10: What is the correct code assignment for type 2 diabetes mellitus with diabetic ketoacidosis? 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 Maintenan 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.

2018 Icd-10 Update Part 3: New Codes For Diabetes, Myopia Start October 1st

Like most eye care practices, you likely treat patients with co-morbid conditions. The patient population of many practices is often older than average, and many times chronically ill. So, correctly coding for co-morbidity is essential in avoiding costly revenue leaks that could drain cash from your practice. New Options for DKA Coding Recent studies have shown that the number of type 2 patients presenting with diabetic ketoacidosis has been increasing, and that’s one reason for the new DKA codes. Prior to the 2018 revisions, the best coding option to describe a patient with type 2 DKA was E11.69 (Type 2 diabetes mellitus with other specified complication). Beginning October 1, 2017, you’ll see a new subdivision among the E11 (Type 2 diabetes mellitus) codes: E11.1 (Type 2 diabetes mellitus with ketoacidosis). This new subdivision includes two codes: E11.10 (… without coma) E11.11 (… with coma). Other DKA-related additions occur in the following code series: E08 — (Diabetes mellitus due to underlying condition) E09 — (Drug or chemical induced diabetes mellitus…) E10 — (Type 1 diabetes mellitus …) E13 — (Other specified diabetes mellitus …) All four series cont 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

  4. -> Continue reading
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ICD-10 Coding of Osteoarthritis | ICD-10 Coding Guidelines http://go.cco.us/icd-10-cm-full-course Chandra: A: For the ICD-10 for osteoarthritis, the guidelines actually state that you should use the multiple osteoarthritis code unless the specific codes are more appropriate for the circumstantial coding, and basically it comes down to the payer rules. If youre seeing a patient simply to manage their osteoarthritis and theyve got osteoarthritis in multiple joints, maybe they got in their left shoulder, their right shoulder, their left elbow and their left hip. Most providers are going to report that with a multiple osteoarthritis code. The times that you would break into the specific joint and laterality would be when youre trying to prove or substantiate medical necessity for certain things, like if you were evaluating a patient or planning to do a hip replacement on that same patient, they may have osteoarthritis and all these different joints but youre focused on the hip joint, specifically the left hip joint. So, your claim should have the specific code to say, Specifically were dealing with osteoarthritis of the left hip, then you could add additional codes, say they also have it here, here, and here, but for our purposes we want that specificity. Thats really the only time that she usually going to come into play, it all comes down to payment, unfortunately. Laureen: Is this the guideline? Alicia: M15 M19 are the codes that were looking at, thats it. Chandra: Yeah. Usually theres a multiple sites option, for categories where theres no multiple site, code should be used to indicate the different sites involved. Alicia: M15.3 secondary multiple arthritis? Chandra: Thats secondary. When youre talking M15, remember secondary is the result of something else. These are more than likely, I think theyre M19s if I remember correctly. Alicia: Yeah, I was there READ MORE HERE: http://www.cco.us/icd-10-coding-of-os... https://youtu.be/O4_jb3gMPDo ---------------------------------------- CLICK HERE: http://go.cco.us/icd-10-cm-full-course ---------------------------------------- More Information about ICD 10 Coding of Osteoarthritis ICD-10 Code Lookup - CMS.gov https://www.cms.gov/.../icd-... Centers for Medicare and Medicaid Services Enter a Code or keyword to conduct your search for ICD-10 Codes. After searching, select an ICD-10 Code link from the results table to populate the ... The Web's Free 2016 ICD-10-CM/PCS Medical Coding ... http://www.icd10data.com/ Free ICD-10-CM/PCS reference, including all current codes, a search engine, ICD-9-CM conversion and all indexes. ICD-10-CM Codes - Convert ICD-9-CM Codes to ... - 2016 ICD-10-CM Alpha Index Road to 10 ICD-10 Basics http://www.roadto10.org/icd-10-basics/ ICD-10 affects diagnosis and inpatient procedure coding for everyone covered by the Health Insurance Portability Accountability Act (HIPAA), not just those who ... ICD-10 Overview | Medicaid.gov https://www.medicaid.gov... Medicaid.gov Official U.S. Government Site The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is a coding of diseases, signs and symptoms, ... ---------------------------------------- CLICK HERE: http://go.cco.us/icd-10-cm-full-course ---------------------------------------- People who watched this video: https://youtu.be/O4_jb3gMPDo Also searched online for: Searches related to icd 10 coding icd 10 codes list icd 10 book icd 10 diagnosis codes icd 10 codes for mental health icd 10 codes funny icd 10 conversion icd 10 training icd 10 pdf ------------------------------------------------ CONNECT WITH US: http://www.facebook.com/cco.us http://www.youtube.com/medicalcodingcert http://www.youtube.com/codingcertific... https://www.pinterest.com/codingcertorg/ https://plus.google.com/+Codingcertif... https://www.linkedin.com/company/codi... https://www.youtube.com/playlist?list... ---------------------------------------- Don't forget to check out our YouTube Channel: https://www.youtube.com/user/MedicalC... -------------------------------------------- #icd10codeslist #icd10book #icd10diagnosiscodes #icd10codesformentalhealth #icd10codesfunny #icd10conversion #icd10training #icd10pdf -------------------------------------------- VISIT OUR SITE: http://www.cco.us/cco-yt

Icd-10 Training: Coding For Diabetes

Diabetes mellitus coding under ICD-10 will require documentation with greater specificity and detail In order to understand diabetes coding in ICD-10, it’s worth making a comparison of the structural differences between ICD-9-CM and ICD-10-CM. Diabetes mellitus (DM) codes in ICD-10-CM are combination codes that include the type of DM, the body system affected, and the complication affecting that body system as part of the code description. Subcategory levels first specify the type of complication by system, such as diabetes with kidney complications, ophthalmic complications, neurological complications, and circulatory complications. The subclassification level then describes the particular manifestation. For example: E11.3: Type 2 diabetes mellitus with ophthalmic complications. E11.32: Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy. E11.321: Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema. E11.329: Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema. A subcategory for diabetes mellitus with other specified complications is also provided that includes codes for DM wit 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

  4. -> Continue reading
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