Type 2 diabetes mellitus with other specified complication
Prediabetes
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:
What is ICD 10 code for insulin dependent type 2 diabetes? ICD-10 Code Z79. 4, Long-term (current) use of insulin should be assigned to indicate that the patient uses insulin for Type 2 diabetes mellitus (Category E11* codes). Z79. 4 should NOT be used for Type 1 diabetes mellitus (Category E10* codes). What is insulin-dependent diabetes called?
E11. 69 - Type 2 diabetes mellitus with other specified complication. ICD-10-CM.
ICD-Code E11* is a non-billable ICD-10 code used for healthcare diagnosis reimbursement of Type 2 Diabetes Mellitus. Its corresponding ICD-9 code is 250. Code I10 is the diagnosis code used for Type 2 Diabetes Mellitus.
ICD-10 code E78. 2 for Mixed hyperlipidemia is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
For example, E78. 2 Mixed hyperlipidemia cannot be coded with 5-alpha-reductase deficiency (E29. 1 Testicular hypofunction), but the note for this is not at E78.
ICD-Code E78. 5 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Hyperlipidemia, Unspecified. Its corresponding ICD-9 code is 272.4.
ICD-10 | Hyperlipidemia, unspecified (E78. 5)
What is mixed hyperlipidemia? Familial combined hyperlipidemia (or mixed hyperlipidemia) is a genetic disorder that passes from one family member to another through their genes. If you have this disease, it means you have higher-than-usual levels of: cholesterol. triglycerides.
Mixed hyperlipidemia, also called familial combined hyperlipidemia, is a condition that causes elevated levels of fats in the blood, such as low-density lipoprotein (LDL) cholesterol ("bad" cholesterol) and triglycerides. Mixed hyperlipidemia can be passed down through families.
Familial combined hyperlipidemia is a disorder that is passed down through families. It causes high cholesterol and high blood triglycerides.
E78. 2 - Mixed hyperlipidemia | ICD-10-CM.
The note in ICD-10 under codes B95-B97 states that 'these categories are provided for use as supplementary or additional codes to identify the infectious agent(s) in disease classified elsewhere', so you would not use B96. 81 as a primary diagnosis, but as an additional code with the disease listed first.
You wouldn't code them together. Cholesterol is a type of lipid. If the provider diagnosed pure hypercholesterolemia, you would code that. It is more specific than hyperlipidemia, unspecified.
Subclass of diabetes mellitus that is not insulin responsive or dependent; characterized initially by insulin resistance and hyperinsulinemia and eventually by glucose intolerance, hyperglycemia, and overt diabetes; type ii diabetes mellitus is no longer considered a disease exclusively found in adults; patients seldom develop ketosis but often exhibit obesity.
A subclass of diabetes mellitus that is not insulin-responsive or dependent (niddm). It is characterized initially by insulin resistance and hyperinsulinemia; and eventually by glucose intolerance; hyperglycemia; and overt diabetes. Type ii diabetes mellitus is no longer considered a disease exclusively found in adults. Patients seldom develop ketosis but often exhibit obesity.
diabetes means your blood glucose, or blood sugar, is too high. With type 2 diabetes , the more common type, your body does not make or use insulin well. Insulin is a hormone that helps glucose get into your cells to give them energy. Without insulin, too much glucose stays in your blood.
It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as E11. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
With type 2 diabetes, the more common type, your body does not make or use insulin well. Without enough insulin, the glucose stays in your blood.over time, having too much glucose in your blood can cause serious problems. It can damage your eyes, kidneys, and nerves.
Hyperlipidemia can occur due to food habit, secondary to any other underlying disease, genetic abnormalities or idiopathic (unknown cause). If it is secondary to any other disease, both primary and secondary should be coded, remember to apply combination coding guidelines if applicable.
Hyperlipidemia refers to increase in any type of lipid (fat) in blood. We use common name “high cholesterol” instead of saying hyperlipidemia. Though not in detail, it is important to understand the basics of lipids to code to the highest specificity. There are two types of lipids: Triglycerides. Cholesterol.
Hence increase in the level of lipids is risk factors for cardiovascular problems and stroke. It may even cause obesity, fat deposits on skin, enlargement of organs like spleen, pancreas or liver. Lipid Panel – It is a lab test using specimen as blood to find any type of fat increase in blood.
He quit smoking 2 years ago. Medication list includes Lisinopril, insulin, clopidogrel.
Xanthoma tuberosum. Clinical Information. A disorder of lipoprotein metabolism characterized by high levels of cholesterol and triglycerides in the blood. It is caused by elevation of low density and very low density lipoproteins.
Type iib hyperlipoproteinemia is caused by mutation in the receptor-binding domain of apolipoprotein b-100 which is a major component of low-density lipoproteins and very-low-density lipoproteins resulting in reduced clearance of these lipoproteins.
A type of familial lipid metabolism disorder characterized by a variable pattern of elevated plasma cholesterol and/or triglycerides. Multiple genes on different chromosomes may be involved, such as the major late transcription factor (upstream stimulatory factors) on chromosome 1.
The 2022 edition of ICD-10-CM E78.2 became effective on October 1, 2021.
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as E78.2. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Conventions, general coding guidelines and chapter specific guidelines", it spells this out: The word “with” or “in” should be interpreted to mean “associated with” or “due to” when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The classification presumes a causal relationship between the two conditions linked by these terms in the Alphabetic Index or Tabular List. These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the documentation clearly states the conditions are unrelated....
If it's not documented as a complication caused by the diabetes, then you can't code it as a complication unless the code book directs you to it through a 'with' entry in the index, as Debra describes above.
In your example, since hyperlipidemia does not appear listed under diabetes as an option after 'with', you cannot presume the causal relationship, and it cannot be coded as a complication of diabetes unless the provider has documented that the diabetes caused that condition.