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Wiki Type 2 Diabetes Mellitis with ketoacidosis

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calicoder10

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Would this be coded as e11.69 and E87.2 or E13.10?

Thanks
 
This is the latest i can find. Seems the other specified is the one to use even though the excludes 1 does not agree. Hopefully they will update it to add type 2 in October:

http://www.hcpro.com/acdis/details.cfm?content_id=292265


Type 2 diabetes mellitus with diabetic ketoacidosis
In this entry Coding Clinic for ICD-9-CM states that a coder must assign E13.10, Other specified diabetes mellitus with ketoacidosis without coma, for a patient with Type 2 diabetes with ketoacidosis. This advice highlights the unfortunate shortcomings of the ICD-10 code set.

“Type 2 diabetes should be an E11 code, but ketoacidosis rarely occurs in Type 2 diabetes,” says Ericson, noting that Medlineplus has a helpful reference for Type 2 diabetes with ketoacidosis. “So we need to use an “Other specified diabetes” E13 code.”

Coding Clinic for ICD-9-CM states that this issue will go to before the ICD-10 Coordination and Maintenance Committee for reclassification in order that patients with ketoacidosis can be properly identified.
Click to expand...

Another article i found states this information is in Coding Clinic, First Quarter 2013, pages 26‐27
 
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