Endocrine Nutritional and Metabolic Diseases 440 ICD 10 CM 2017 b Assigning and

Endocrine nutritional and metabolic diseases 440 icd

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Endocrine, Nutritional and Metabolic Diseases 440 ICD-10-CM 2017 (b) Assigning and sequencing secondary diabetes codes and its causes The sequencing of the secondary diabetes codes in relationship to codes for the cause of the diabetes is based on the Tabular List instructions for categories E08, E09 and E13. (i) Secondary diabetes mellitus due to pancreatectomy For postpancreatectomy diabetes mellitus (lack of insulin due to the surgical removal of all or part of the pancreas), assign code E89.1, Postprocedural hypoinsulinemia. Assign a code from category E13 and a code from subcategory Z90.41-, Acquired absence of pancreas, as additional codes. (ii) Secondary diabetes due to drugs Secondary diabetes may be caused by an adverse effect of correctly administered medications, poisoning or sequela of poisoning. See section I.C.19.e for coding of adverse effects and poisoning, and section I.C.20 for external cause code reporting. Type 2 diabetic with no complications, normally only on oral metformin, is given insulin for three days to maintain glucose control while in the hospital recovering from surgery E11.9 Type 2 diabetes mellitus without complications Z79.84 Long term (current) use of oral hypoglycemic drugs Explanation : Although the patient was given insulin for a short time during his hospital stay, the intent was only to maintain the patient’s glucose levels while off his regular oral hypoglycemic medication, not for long term use. No code is needed for long term use of insulin, but a Z code for long term use of an oral hypoglycemic should be added to identify the chronic use of this drug. Type 2 diabetic with diabetic polyneuropathy on insulin E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy Z79.4 Long term (current) use of insulin Explanation : Add the Z code for the long term use of insulin because the insulin is taken chronically. Patient with newly diagnosed diabetes after surgical removal of part of pancreas E89.1 Postprocedural hypoinsulinemia E13.9 Other specified diabetes mellitus without complications Z90.411 Acquired partial absence of pancreas Explanation : Sequence the postprocedural complication of the hypoinsulinemia due to the partial removal of the pancreas as the first-listed code, followed by the other specified diabetes (NEC) with or without complications and the partial or total acquired absence of the pancreas. Initial encounter for corticosteroid-induced diabetes mellitus E09.9 Drug or chemical induced diabetes mellitus without complications T38.0X5A Adverse effect of glucocorticoids and synthetic analogues, initial encounter Explanation : If the diabetes is caused by an adverse effect of a drug, the diabetic condition is coded first. If it occurs from a poisoning or overdose, the poisoning code causing the diabetes is sequenced first.
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Chapter 5. Mental, Behavioral and Neurodevelopmental Disorders ICD-10-CM 2017 Chapter 5. Mental, Behavioral and Neurodevelopmental Disorders Guidelines and Examples ICD-10-CM 2017 441 Chapter 5. Mental, Behavioral and Neurodevelopmental Disorders (F01–F99)
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