Patient is seen for uncontrolled diabetes type 2 with diabetic polyneuropathy

Patient is seen for uncontrolled diabetes type 2 with

This preview shows page 11 - 13 out of 60 pages.

Patient is seen for uncontrolled diabetes, type 2, with diabetic polyneuropathy and diabetic retinopathy with macular edema E11.65 Type 2 diabetes mellitus with hyperglycemia E11.311 Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy Explanation : Use as many codes to describe the diabetic complications as needed. Many are combination codes that describe more than one condition. Code first the reason for the encounter. “Uncontrolled” is described as “with hyperglycemia.” A 45-year-old patient is diagnosed with type 1 diabetes E10.9 Type 1 diabetes mellitus without complications Explanation : Although most type 1 diabetics are diagnosed in childhood or adolescence, it can also begin in adults. Office visit lists diabetes and hypertension on patient problem list E11.9 Type 2 diabetes mellitus without complications I10 Essential (primary) hypertension Explanation : Since the type of diabetes was not documented and no complications were noted, the default code is E11.9. Office visit lists chronic diabetes with daily insulin use on patient problem list E11.9 Type 2 diabetes mellitus without complications Z79.4 Long term (current) use of insulin Explanation : Do not assume that a patient on insulin must have type 1 diabetes. The default for diabetes without further specification defaults to type 2. Add the code for long term use of insulin. A 24-year-old type 1 diabetic male treated in ED for hyperglycemia; insulin pump found to be malfunctioning and underdosing T85.614A Breakdown (mechanical) of insulin pump, initial encounter T38.3X6A Underdosing of insulin and oral hypoglycemic [antidiabetic] drugs, initial encounter E10.65 Type 1 diabetes mellitus with hyperglycemia Explanation : The complication code for the mechanical breakdown of the pump is sequenced first, followed by the underdosing code and type of diabetes with complication. Code all other diabetic complication codes necessary to describe the patient’s condition. A 24-year-old type 1 diabetic male found down with diabetic coma, brought into ED and treated for hypoglycemia; insulin pump found to be malfunctioning and overdosing T85.614A Breakdown (mechanical) of insulin pump, initial encounter T38.3X1A Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, accidental (unintentional), initial encounter E10.641 Type 1 diabetes mellitus with hypoglycemia with coma Explanation : The complication code for the mechanical breakdown of the pump is sequenced first, followed by the poisoning code and type of diabetes with complication. All the characters in the combination code must be used to form a valid code and to fully describe the type of diabetes, the hypoglycemia, and the coma.
Image of page 11

Subscribe to view the full document.

Guidelines and Examples Chapter 4. Endocrine, Nutritional and Metabolic Diseases ICD-10-CM 2017 Chapter 4.
Image of page 12
Image of page 13
  • Winter '19

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Ask Expert Tutors You can ask You can ask ( soon) You can ask (will expire )
Answers in as fast as 15 minutes