![]() ![]() Long-term (current) use of injectable non-insulin antidiabetic drugs.Long-term (current) use of oral hypoglycemic drugs.Should not be assigned if insulin is given temporarily to bring a type 2 patient’s blood sugar under control during an encounter.The first-listed code for an encounter due to an insulin pump malfunction resulting in an overdose of insulin should also be T85.6-, Mechanical complication of other specified internal and external prosthetic devices, implants, and grafts, followed by code T38.3X1-, Poisoning by insulin and oral hypoglycemic drugs, accidental (unintentional).Overdose of insulin due to insulin pump failure.Additional codes for the type of diabetes mellitus and any associated complications due to the underdosing should also be assigned. An underdose of insulin due to an insulin pump failure should be assigned to a code from subcategory T85.6, Mechanical complication of other specified internal and external prosthetic devices, implants, and grafts, that specifies the type of pump malfunction, as the first-listed code, followed by code T38.3X6-, Underdosing of insulin and oral hypoglycemic drugs.Underdose of insulin due to insulin pump failure.ICD 10 Code: T85.6xxx + T38.3X6x + Diabetes Type + associated complications from underdosing The codes in this category are classified based on the type of diabetes (e.g., Type 1, Type 2, gestational) and by the timing of the diabetes (e.g., during a pregnancy, childbirth, or postpartum).Ĭomplications Due to Insulin Pump Malfunction.Diabetes mellitus in pregnancy, childbirth, and the puerperium.Treatment: (medication, diet, exercise, insulin pump, or a combination) and current response to treatment.ĭiabetes in Pregnancy & Gestational Diabetes Macrovascular complications: CAD, PAD, PVD, MI, cardiomyopathy, CVA, TIA.Microvascular (small blood vessel) complications: retinopathy, nephropathy, neuropathy.Secondary cause: identify cause (drug or other chemical-induced, other underlying condition)Ĭomplications: Assign as many codes from categories E08 – E13 as needed to identify all the associated conditions/complications that the patient has related to their diabetes (See causal relationship notes below).Type: Type 1, Type 1.5 ( LADA: latent autoimmune diabetes in adults), or Type 2.Control: There is no default code for diabetes mellitus documented only as “uncontrolled.” The provider must indicate whether the diabetic patient is hypoglycemic or hyperglycemic to determine the appropriate code.Combination codes describe common associated conditions, along with severity classifications.ĭocumentation needs to be clear and detailed using the following terms to allow accurate ICD10 code selection. In addition to the expanded number of categories of diabetes codes, the subclassification of each type of diabetic disorder is much more detailed. In addition, ICD-10- CM classifies several other distinct types of diabetes, depending upon the underlying cause. Diabetes mellitus describes conditions in which the body does not produce any insulin at all (Type 1) or it is unable to synthesize the insulin produced (Type 2). ![]() One of the most important endocrine organs is the pancreas, which secretes insulin and regulates glucose levels within the body. Without such documentation, accurate coding cannot be achieved.” Per ICD-10 official guidelines for reporting and coding, “The importance of consistent, complete documentation in the medical record cannot be overemphasized. A quick reference guide to assist with accurate, complete documentation and coding that reflects the true nature of a patient’s current health status at the highest level of specificity. ![]()
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