Correctly Coding: Diabetes Mellitus
When selecting International Classification of Diseases, Tenth Revision (ICD-10), diagnostic codes, accuracy is important when describing the patient’s true health. A joint effort between the healthcare provider and the coder/biller is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Diabetes mellitus is one of the most inaccurately coded chronic conditions. Many billers/coders/providers are missing opportunities to show which patients are sicker and are at a higher risk. The prevalence of diabetes mellitus and the complexity of diabetes coding require a solid understanding of the ICD-10 coding guidelines to ensure accurate code assignment. These diagnosis codes are also used in determining the eligible population for the Comprehensive Diabetes Care quality measure and the threshold the member is held to in order to be in control for the Controlling High Blood Pressure quality measure. ICD-10 Category E11* Diabetes Mellitus: Tips on How to Code using ICD-10 Codes Diabetes Mellitus is an HCC (Hierarchical Condition Category) The diabetes mellitus codes are combination codes that include: 1. The type of diabetes mellitus 2. The body system(s) affected 3. The complications affecting the body system(s) When coding diabetes mellitus, you should use as many codes from categories E08-E13* as necessary to describe all of the complications and associated conditions of the disease. These categories are listed below: ICD-10 Code Category ICD-10 Description Note: E08* Diabetes mellitus due to underlying condition Code first the underlying condition Use additional code to identify any insulin use E09* Drug or chemical induced diabetes mellitus Code first poisoning due to drug or toxin, if applicable Use addi Continue reading >>
Icd-10-cm Diabetes Diag Codes
The discharge ICD-10-CM codes included in this spreadsheet are acceptable for use to answer "YES" to "Diabetes Mellitus" to complete the NHSN Operative Procedure Details. The definition excludes patients who receive insulin for perioperative control of hyperglycemia but have no diagnosis of diabetes. (reviewed 11012016) ICD-10-CM DIABETES DIAGNOSES CODES DESCRIPTIONS E10.10 Type 1 diabetes mellitus with ketoacidosis without coma E10.11 Type 1 diabetes mellitus with ketoacidosis with coma E10.21 Type 1 diabetes mellitus with diabetic nephropathy E10.22 Type 1 diabetes mellitus with diabetic chronic kidney disease E10.29 Type 1 diabetes mellitus with other diabetic kidney complication E10.311 Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema E10.319 Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema E10.321 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema E10.329 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema E10.331 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema E10.339 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema E10.341 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema E10.349 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema E10.351 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema E10.359 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema E10.36 Type 1 diabetes mellitus with diabetic cataract E10.39 Type 1 diabetes mellitus with other diabetic ophthalmic Continue reading >>
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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 E11.3, with two exceptions, will require a 7th character to indicate which eye had retinopathy. One exception is E11.36 Type 2 diabetes mellitus with diabetic cataract. The other exception is E11.39 Type 2 diabetes mellitus with other diabetic ophthalmic complication, but this code does require the use of an additional code to further describe the complication. The ICD-10-CM tabular listing for each of the following subcategories will require the following 7th character to be added as indicated by this statement under each subcategory: E11.32, E11.33, E11.34, and E11.35. As an example, all of Continue reading >>
Icd-10 Diagnosis Code E10.42
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 Type 1 diabetesType 1 diabetes is a disorder characterized by abnormally high blood sugar levels. In this form of diabetes, specialized cells in the pancreas called beta cells stop producing insulin. Insulin controls how much glucose (a type of sugar) is passed from the blood into cells for conversion to energy. Lack of insulin results in the inability to use glucose for energy or to control the amount of sugar in the blood.Type 1 diabetes can occur at any age; however, it usually develops by early adulthood, most often starting in adolescence. The first signs and symptoms of the disorder are caused by high blood sugar and may include frequent urination (polyuria), excessive thirst (polydipsia), fatigue, blurred vision, tingling or loss of feeling in the hands and feet, and weight loss. These symptoms may recur during the course of the disorder if blood sugar is not well controlled by insulin replacement therapy. Improper control can also cause blood sugar levels to become too low (hypoglycemia). This may occur when the body's needs change, such as during exercise or if eating is delayed. Hypoglycemia can cause headache, dizziness, hunger, shaking, sweating, weakness, and agitation.Uncontrolled type 1 diab Continue reading >>
Type 2 Diabetes Mellitus E11- >
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. A subclass of diabetes mellitus that is not insulin-responsive or dependent (niddm). It is characterized initially by insulin resistance and hyperinsulinemia; and eventually by glucose intolerance; hyperglycemia; and overt diabetes. Type ii diabetes mellitus is no longer considered a disease exclusively found in adults. Patients seldom develop ketosis but often exhibit obesity. A type of diabetes mellitus that is characterized by insulin resistance or desensitization and increased blood glucose levels. This is a chronic disease that can develop gradually over the life of a patient and can be linked to both environmental factors and heredity. 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 gestati Continue reading >>
- Women in India with Gestational Diabetes Mellitus Strategy (WINGS): Methodology and development of model of care for gestational diabetes mellitus (WINGS 4)
- Postprandial Blood Glucose Is a Stronger Predictor of Cardiovascular Events Than Fasting Blood Glucose in Type 2 Diabetes Mellitus, Particularly in Women: Lessons from the San Luigi Gonzaga Diabetes Study
- Metabolic surgery for treating type 2 diabetes mellitus: Now supported by the world's leading diabetes organizations
Type 2 Diabetes Mellitus With Unspecified Diabetic Retinopathy With Macular Edema
E11.311 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Type 2 diabetes w unsp diabetic retinopathy w macular edema This is the American ICD-10-CM version of E11.311 - other international versions of ICD-10 E11.311 may differ. 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. A subclass of diabetes mellitus that is not insulin-responsive or dependent (niddm). It is characterized initially by insulin resistance and hyperinsulinemia; and eventually by glucose intolerance; hyperglycemia; and overt diabetes. Type ii diabetes mellitus is no longer considered a disease exclusively found in adults. Patients seldom develop ketosis but often exhibit obesity. A type of diabetes mellitus that is characterized by insulin resistance or desensitization and increased blood glucose levels. This is a chronic disease that can develop gradually over the life of a patient and can be linked to both environmental factors and heredity. 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 Continue reading >>
- Differences in incidence of diabetic retinopathy between type 1 and 2 diabetes mellitus: a nine-year follow-up study
- Peripheral Edema and Diabetes
- Women in India with Gestational Diabetes Mellitus Strategy (WINGS): Methodology and development of model of care for gestational diabetes mellitus (WINGS 4)
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 >>
Icd-10 Charts
E13.0Other specified diabetes mellitus with hyperosmolarity 249.20 250.20E13.00Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) 249.20 250.20E13.01Other specified diabetes mellitus with hyperosmolarity with coma E13.1Other specified diabetes mellitus with ketoacidosis 249.10 250.10E13.10Other specified diabetes mellitus with ketoacidosis without coma 249.30 250.30E13.11Other specified diabetes mellitus with ketoacidosis with coma E13.2Other specified diabetes mellitus with kidney complications 249.40 250.40E13.21Other specified diabetes mellitus with diabetic nephropathy 249.40 250.40E13.22Other specified diabetes mellitus with diabetic chronic kidney disease 249.40 250.40E13.29Other specified diabetes mellitus with other diabetic kidney complication E13.3Other specified diabetes mellitus with ophthalmic complications E13.31Other specified diabetes mellitus with unspecified diabetic retinopathy 249.50 250.50 362.01 362.07E13.311Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema 249.50 250.50 362.01E13.319Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema E13.32Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy 249.50 250.50 362.04 362.07E13.321Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema 249.50 250.50 362.04E13.329Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema E13.33Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy 249.50 250.50 362.05 362.07E13.331Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular e Continue reading >>
Type 1 Diabetes Mellitus E10- >
A subtype of diabetes mellitus that is characterized by insulin deficiency. It is manifested by the sudden onset of severe hyperglycemia, rapid progression to diabetic ketoacidosis, and death unless treated with insulin. The disease may occur at any age, but is most common in childhood or adolescence. diabetes means your blood glucose, or blood sugar, is 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. Diabetes mellitus characterized by insulin deficiency, sudden onset, severe hyperglycemia, rapid progression to ketoacidosis, and death unless treated with insulin. The disease may occur at any age, but is most common in childhood or adolescence. Subtype of diabetes mellitus that is characterized by insulin deficiency; it is manifested by the sudden onset of severe hyperglycemia, rapid progression to diabetic ketoacidosis, and death unless treated with insulin; the disease may occur at any age, but is most common in childhood or adolescence. Continue reading >>
- Women in India with Gestational Diabetes Mellitus Strategy (WINGS): Methodology and development of model of care for gestational diabetes mellitus (WINGS 4)
- Postprandial Blood Glucose Is a Stronger Predictor of Cardiovascular Events Than Fasting Blood Glucose in Type 2 Diabetes Mellitus, Particularly in Women: Lessons from the San Luigi Gonzaga Diabetes Study
- Metabolic surgery for treating type 2 diabetes mellitus: Now supported by the world's leading diabetes organizations
New Diabetes-related Diagnosis Codes You Need To Know
New diabetes-related diagnosis codes you need to know Ask the Coding Experts, by Doug Morrow, O.D., Harvey Richman, O.D., Rebecca Wartman, O.D. From the November/December 2016 edition of AOA Focus , page 48-49. On Oct. 1, 2016, hundreds of new ICD-10 codes that impact doctors of optometry went into effect. Several additions and revisions have been made in Chapter 4 of the ICD-10 code set (endocrine, nutritional and metabolic diseases). This chapter includes diabetes-related diagnosis codes. Because doctors of optometry perform the majority of comprehensive, dilated eye examinations for people with diabetes in the United States and are well versed in the treatment and management of diabetic eye disease, it is critical that doctors of optometry are aware of these updated codes. In addition to the diabetes code changes, many other code changes have occurred. Included in this column are just a few of these important changes. New 'code additional' requirements for type II diabetes (E11) The ICD-10 guidelines provide direction on the sequence for reporting certain conditions. The guidelines indicate, "Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a 'use additional code' note at the etiology code and a 'code first' note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation." For type II diabetes (E11), the "use additional" instructions have changed. Previously physicians were guided to use an additional code to identify any in Continue reading >>
Type 2 Diabetes Mellitus With Other Diabetic Ophthalmic Complication
Blindness due to type 2 diabetes mellitus Diabetes mellitus type 2 w/ complications Diabetes type 2 with blindness one eye Diabetes type 2 with eye complications Diabetes type 2 with retinal detachment Diabetes type 2 with retinal ischemia Diabetes type 2 with rubeosis iridis Diabetes type 2 with suspect glaucoma Diabetes type 2 with vitreous hemorrhage Diabetic oculopathy associated with type 2 diabetes mellitus Diabetic oculopathy associated with type ii diabetes mellitus Diabetic vitreous hemorrhage associated with type 2 diabetes mellitus Glaucoma due to type 2 diabetes mellitus Glaucoma suspect due to type 2 diabetes mellitus Retinal ischemia due to type 2 diabetes mellitus Rubeosis iridis due to type 2 diabetes mellitus Traction retinal detachment due to type 2 diabetes mellitus Unilateral blindness due to type 2 diabetes mellitus Vitreous hemorrhage due to type 2 diabetes mellitus Continue reading >>
Type 2 Diabetes Mellitus With Diabetic Neuropathy, Unspecified
Diabetes 2, with neurogenic erectile dysfunction Diabetes type 2 with peripheral neuropathy Diabetes type 2 with peripheral sensory neuropathy Diabetes type2 with neuropathy Diabetic peripheral neuropathy associated with type 2 diabetes mellitus Dm 2 with neuropathic ulcer foot and heel Neurogenic erectile dysfunction due to type 2 diabetes mellitus Neuropathic midfoot and/or heel ulcer due to type 2 diabetes mellitus Neuropathy due to type 2 diabetes mellitus Peripheral neuropathy due to type 2 diabetes mellitus Peripheral sensory neuropathy due to type 2 diabetes mellitus Continue reading >>
- Prevalence of and Risk Factors for Diabetic Peripheral Neuropathy in Youth With Type 1 and Type 2 Diabetes: SEARCH for Diabetes in Youth Study
- Type 2 Diabetes and Peripheral Neuropathy: To Walk or Not to Walk?
- Women in India with Gestational Diabetes Mellitus Strategy (WINGS): Methodology and development of model of care for gestational diabetes mellitus (WINGS 4)
Type 2 Diabetes Mellitus With Diabetic Neuropathy, Unsp
Convert to ICD-9 Synonyms Asymptomatic diabetic neuropathy Chronic painful diabetic neuropathy Dermatosis secondary to peripheral nerve disorder Diabetic foot Diabetic foot ulcer Diabetic neuropathy Diabetic neuropathy with neurologic complication Diabetic peripheral neuropathy Neurologic disorder associated with diabetes mellitus Neurologic disorder associated with type II diabetes mellitus Neurological disorder associated with malnutrition-related diabetes mellitus Neuropathic diabetic ulcer - foot Neuropathic ulcer Neuropathy due to type 2 diabetes mellitus Perforating ulcer of the foot Skin damage resulting from acquired nerve disorder Diabetes Type 2 Also called: Type 2 Diabetes Diabetes means your blood glucose, or blood sugar, levels are too high. With type 2 diabetes, the more common type, your body does not make or use insulin well. 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. You have a higher risk of type 2 diabetes if you are older, obese, have a family history of diabetes, or do not exercise. Having prediabetes also increases your risk. Prediabetes means that your blood sugar is higher than normal but not high enough to be called diabetes. The symptoms of type 2 diabetes appear slowly. Some people do not notice symptoms at all. The symptoms can include Being very thirsty Urinating often Feeling very hungry or tired Losing weight without trying Having sores that heal slowly Having blurry eyesight Blood tests can show if you have diabetes. One type of test, the A1C, can also check on how you are managing your diabetes. Many people can manage their diabe Continue reading >>
- Prevalence of and Risk Factors for Diabetic Peripheral Neuropathy in Youth With Type 1 and Type 2 Diabetes: SEARCH for Diabetes in Youth Study
- Type 2 Diabetes and Peripheral Neuropathy: To Walk or Not to Walk?
- Women in India with Gestational Diabetes Mellitus Strategy (WINGS): Methodology and development of model of care for gestational diabetes mellitus (WINGS 4)
Type 2 Diabetes Mellitus Without Complications
Diabetes in pregnancy Diabetes mellitus diet education done Diabetes mellitus in the puerperium - baby delivered during current episode of care Diabetes mellitus type 2 Diabetes mellitus type 2 without retinopathy Diabetes type 2 Diabetes type 2 controlled with diet Diabetes type 2 on insulin Diabetes type 2, uncomplicated Diabetes type 2, without retinopathy Diabetic foot exam Diabetic foot exam done Dietary diabetic patient education Gestational diabetes mellitus Insulin treated type 2 diabetes mellitus Insulin-treated non-insulin-dependent diabetes mellitus Maturity onset diabetes mellitus in young Maturity onset diabetes of youth Maturity-onset diabetes of the young Nutrition therapy for diabetes type 2 done Nutritional therapy for diabetes mellitus type 2 Postpartum (after pregnancy) diabetes Preexisting diabetes mellitus during postpartum Preexisting diabetes postpartum (after childbirth) Type 2 diabetes mellitus Type 2 diabetes mellitus controlled by diet Type 2 diabetes mellitus without complication Type ii diabetes mellitus without complication Continue reading >>
Type 2 Diabetes Mellitus With Unspecified Diabetic Retinopathy Without Macular Edema
E11.319 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Type 2 diabetes w unsp diabetic rtnop w/o macular edema This is the American ICD-10-CM version of E11.319 - other international versions of ICD-10 E11.319 may differ. Continue reading >>
- Differences in incidence of diabetic retinopathy between type 1 and 2 diabetes mellitus: a nine-year follow-up study
- Peripheral Edema and Diabetes
- Women in India with Gestational Diabetes Mellitus Strategy (WINGS): Methodology and development of model of care for gestational diabetes mellitus (WINGS 4)
