What are the major complications of diabetes?
In ICD-10-CM, chapter 4, "Endocrine, nutritional and metabolic diseases (E00-E89)," includes a separate subchapter (block), Diabetes mellitus E08-E13, with the categories:
Type 2 diabetes
According to Coding Clinic, Third Quarter 2018, you should assign ICD-10-CM code E11. 51 (Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene) along with an additional code from subcategory I70. 2- to fully capture the patient's condition.
ICD-10 code E11. 51 for Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
ICD-10 Code for Type 2 diabetes mellitus with other specified complication- E11. 69- Codify by AAPC.
PVD and intermittent claudication, not otherwise specified, is classified to ICD-9-CM code 443.9. If the PVD is due to diabetes mellitus, codes 250.7 and 443.81 would be assigned.
ICD-10 code I73. 9 for Peripheral vascular disease, unspecified is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
PVD is also synonymous with peripheral angiopathy. If the patient has atherosclerosis of native arteries of extremities, use an additional code to provide other details, such as laterality and manifestations.
ICD-10 code: E11. 9 Type 2 diabetes mellitus Without complications.
Diabetes dramatically increases the risk of various cardiovascular problems, including coronary artery disease with chest pain (angina), heart attack, stroke and narrowing of arteries (atherosclerosis). If you have diabetes, you're more likely to have heart disease or stroke. Nerve damage (neuropathy).
The incorrect portion of the response came as an aside at the end, where it was stated that “it would be redundant to assign codes for both diabetic nephropathy (E11. 21) and diabetic chronic kidney disease (E11. 22), as diabetic chronic kidney disease is a more specific condition.” It is true you wouldn't code both.
A common type of PVD is venous insufficiency, which occurs when the valves in the leg veins don't shut properly during blood's return to the heart. As a result, blood flows backward and pools in the veins.
ICD-9-CM Coding If either peripheral or autonomic neuropathy is caused by diabetes, then a code from subcategory 250.6 will be sequenced first followed by code 357.2 for polyneuropathy in diabetes or code 337.1 for peripheral autonomic neuropathy.
E11. 59 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM E11. 59 became effective on October 1, 2021.