E10.36 Type 1 diabetes mellitus with diabetic cataract.E10.35 Type 1 diabetes mellitus with proliferative diabetic retinopathy.E10.34 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy.E10.33 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy.E10.32 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy.E10.31 Type 1 diabetes mellitus with unspecified diabetic retinopathy.E10.29 Type 1 diabetes mellitus with other diabetic kidney complicationĮ10.3 Type 1 diabetes mellitus with ophthalmic complications.E10.22 Type 1 diabetes mellitus with diabetic chronic kidney disease.E10.21 Type 1 diabetes mellitus with diabetic nephropathy.E10.11 Type 1 diabetes mellitus with ketoacidosis with comaĮ10.2 Type 1 diabetes mellitus with kidney complications.E10.10 Type 1 diabetes mellitus with ketoacidosis without coma.E10.1 Type 1 diabetes mellitus with ketoacidosis ICD-10 Codes for Diabetes, E10 is a code to code a diagnosis of this type, you must use one of the eight child codes of E10 that describes the diagnosis ‘type 1 diabetes Mellitus in more detail. The “unspecified” codes can be used when not enough information is known to give a more specific diagnosis in that case, “unspecified” is technically more accurate than a more specific but as yet unconfirmed diagnosis. Note that the word “with” in the code titles always means “associated with” or “due to” (it doesn’t refer to two disparate conditions). The code for long-term use of insulin, Z79.4, should also be used in these cases (unless insulin was just given to the patient as a one-time fix to bring blood sugar under control). If the medical record doesn’t say what type of diabetes the patient has but indicates that the patient uses insulin, the Type 2 diabetes codes should also be used. If the type of diabetes that the patient has is not documented in the medical record, E11 codes for type 2 diabetes should be used as a default. For gestational diabetes (diabetes that occurs during pregnancy) women should be assigned a code under the 024.4 subheading and not any other codes under the 024 category. Pregnant women who are diabetic should be assigned a code from the 024 categories first, followed by the appropriate diabetes codes in the E08 to E13 range. Guidelines for Using ICD-10 Codes for Diabetes As many ICD-10 codes as necessary can be used together to describe the patient’s form of diabetes. Type 1 diabetes happens most often in children and young adults but can appear at any age. Over time, high blood glucose can lead to serious problems with your heart, eyes, kidneys, nerves, and gums, and teeth. Without insulin, too much glucose stays in your blood. Insulin is a hormone that helps glucose get into your cells to give them energy. With type 1 diabetes, your pancreas does not make insulin. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.Diabetes means your blood glucose or blood sugar is too high. The information contained in this coding advice is valid at the time of posting. HIA offers PRN support as well as total outsource support. Please see question and answer in AHA Coding Clinic, First Quarter 2017 Page: 42įor the past 30 years, HIA has been the leading provider of compliance audits, coding support services and clinical documentation audit services for hospitals, ambulatory surgery centers, physician groups and other healthcare entities. Hypoglycemia-see Diabetes, by type, with hypoglycemia Hyperglycemia-see Diabetes, by type, with hyperglycemia Poorly controlled-code to Diabetes, by type with hyperglycemia Poorly controlled means hyperglycemia per the ICD-10-CM index. Uncontrolled can mean either hyperglycemia or hypoglycemia and is indexed as such in ICD-10-CM. No, uncontrolled and poorly controlled are not interchangeable when describing diabetes in ICD-10-CM. Is uncontrolled and poorly controlled DM the same? If the patient does have documented hyperglycemia or hypoglycemia in addition to the diagnosis of uncontrolled diabetes, ICD-10-CM codes would be used to show that the diabetes is with hyperglycemia and/or hypoglycemia. If the patient has documented uncontrolled diabetes, without further clarification of hyperglycemia and/or hypoglycemia, a query is necessary to clarify which type the patient has. In ICD-9-CM, uncontrolled diabetes had a specific 5th digit to show that the diabetes was controlled or uncontrolled. The term “poorly controlled” is synonymous with hyperglycemia when referring to diabetes in ICD-10-CM. The term “uncontrolled” is not synonymous with hyperglycemia. Uncontrolled diabetes is classified by type and whether it is hyperglycemia or hypoglycemia. How do coders report uncontrolled DM in ICD-10-CM?įirst, coders will need to have further documentation of hyperglycemia or hypoglycemia as there is no default code for uncontrolled diabetes.
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