![]() It follows the same coding logic as Type 2 diabetes with ketoacidosis. KEY WORDS: Complication – A condition that aggravates an existing disease Manifestation – A condition/disease that is caused by another disease OGCR – 2021 ICD-10-CM Official Guidelines for Coding and Reporting.įor more information on coding, auditing, and cancer registry, check out the MRA website here.Q: Why is there no ICD-10-CM code for hyperosmolarity with Type 1 diabetes when there is a code for hyperosmolarity with Type 2 diabetes?Ī: To code for hyperosmolarity with Type 2 diabetes, you might want to consider reporting code E13.00 (other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma). Complications/manifestations of DM, as well as use of insulin, oral, and other injectable medications use to treat DM will be covered in future blogs along with review of the specific ICD-10-CM codes that should be assigned. SUMMARY: While briefly mentioning the complications of primary diabetes mellitus (DM) and manifestations of the disease, this blog concentrates on ICD-10-CM code assignments and coding guidelines for primary diabetes mellitus (DM) – Types 1, 1.5, and 2. Coders are reminded to always review the provider’s documentation, in addition to thoroughly reading all includes, excludes, and other instructional notes found under category codes E08 – E13 in the classification itself. Information on assigning ICD-10-CM codes tor DM Types 1, 1.5, and 2. People with type 1.5 diabetes have autoantibodies to insulin-producing beta cells and gradually lose their insulin-producing capability, requiring insulin within 5-10 years of diagnosis.” These patients have also been described with the terms “latent autoimmune diabetes of adults” (LADA), and “slow-progressing type 1 diabetes.” The condition has also been called “double” diabetes because individuals demonstrate both the autoimmune destruction of beta cells of type 1 diabetes and the insulin resistance characteristic of type 2 diabetes. The AHA Coding Clinic for ICD-9-CM and ICD-10-CM/PCS ©, 3Q 2018 (pages 4-5) recommends assigning code(s) from category E13, Other specified diabetes mellitus, for Type 1.5: “ Type 1.5 diabetes is a form of diabetes in which an adult has features of both type 1 and type 2 diabetes. It has been my experience that the ICD-10 classification system can lag several years behind medical advances and changes to medical diagnoses and treatments. ![]() Unlike Types 1 and 2, there is no specific category code for Type 1.5 DM.
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