• 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 the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Dm 2 with ketoacidosis

Create Wiki
M

majnun99@yahoo.com

New
Messages
2
Location
Saint Louis, MO
Best answers
0
I had a case to code a couple of days ago; patient had "diabetic ketoacidosis." There was no description as to the type of diabetes, so I went with type 2. At this point, I noticed there are combination codes for DM 1, DM due to drug or chemical, due to underlying condition and specified type NEC, but there is no combination code for DM 2 with ketoacidosis. I coded it as DM 2 with complication NEC E11.69 and Ketoacidosis E87.2. The doctor gave an additional diagnosis of lactic acidosis, which is also coded as E87.2. Does anyone have any insights on a better way to code this, or the rationale of not having a combination code for DM type 2 with ketoacidosis? (Incidentally, the patient also had urogenital warts, severe sepsis present on admission, and there was no mention of any kind kidney malfunction.)
 
Dm type 2 with ketoacidosis

I found an answer on another thread that indicated to go with "DM specified type NEC with ketoacidosis (without coma) E13.10" instead of DM 2 with complication NEC E11.69 and ketoacidosis E87.2 (even though the type of diabetes is not specified); seems strange, but I guess that's what I'll do if it ever comes up again.
 
Hello,

As per coding Clinic Diabetic with ketoacidosis code is E13.10 below is reference from coding Clinic.

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


Regards
Dr.Ramnath Bandaru, CCS, CPC
American Medical Services LLC
http://amshealth.com/
Twitter: @HospitalCoders
 
You must log in or register to reply here.
Top