Wiki DKA Type 2 uncontrolled

[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

 

[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

 

[amsmith]

Thank you.

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.

 

[Cynthia Hughes]

Here is an answer from coding clinic (If like most physician coders, you don't have access to Coding Clinic, see http://www.ahacentraloffice.org/PDF...ClinicICD10CMWebinarFinalSlidesJune182014.pdf)
Diabetic Ketoacidosis
• Life-threatening complication of diabetes occurring when
the body produces high levels of ketones (blood acids)
– Commonly affects patients with type 1 diabetes
mellitus
– Ketoacidosis signifies uncontrolled diabetes
(hyperglycemia)
– An additional diabetic code for hyperglycemia is not
assigned
– Assign code E10.10, Type 1 diabetes mellitus with
ketoacidosis without coma
Coding Clinic, Third Quarter 2013, page 20
Copyright (c) 2014 by American Hospital Association. All rights reserved. 46
Diabetes Mellitus Type 2 with
Ketoacidosis
• Diabetic ketoacidosis commonly affects type 1 diabetics
• However can affect type 2 diabetics
• Currently ICD-10-CM does not provide a specific code for type 2 diabetic ketoacidosis
• Assign code E13.10, Other specified diabetes mellitus with ketoacidosis without coma
• Clinically more important to identify the fact that the patient has ketoacidosis
Coding Clinic, First Quarter 2013, pages 26‐27