2021 ICD-10-CM Diagnosis Code E11.22 Type 2 diabetes mellitus with diabetic chronic kidney disease 2016 2017 2018 2019 2020 2021 Billable/Specific Code E11.22 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Type 2 diabetes mellitus with other diabetic kidney complication. E11.29 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM E11.29 became effective on October 1, 2018.
Use additional code for long-term (current) use of insulin (Z79.4) 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).
ICD-10 Codes for Type 1 (Juvenile) Diabetes Type 1 diabetes mellitus: E10 Type 1 diabetes mellitus with ketoacidosis: E10.1 …… without coma: E10.10
E11. 29 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-10-CM Code for Type 2 diabetes mellitus with unspecified complications E11. 8.
E11. 22 states within its code DM with CKD therefore it is a more accurate code than E11. 21 which is just DM with Nephropathy (any kidney condition).
ICD-10 Code for Type 2 diabetes mellitus with other diabetic kidney complication- E11. 29- Codify by AAPC.
9.
ICD-10 code: E11. 9 Type 2 diabetes mellitus Without complications.
If you look in the alphabetical index under diabetes/diabetic with neuropathy it is E11. 40 (type 2 DM with diabetic neuropathy, unspecified). You cannot go with E11. 42 because that is specifically with polyneuropathy which is not documented.
Type 2 diabetes mellitus with unspecified complications E11. 8 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. 8 became effective on October 1, 2021.
Type 2 diabetes mellitus with other circulatory complicationsICD-10 Code for Type 2 diabetes mellitus with other circulatory complications- E11. 59- Codify by AAPC.
So yes, use the appropriate combination codes, being E11. 22, I12. 9 and N18. 3.
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).
MICROALBUMINURIA: A MARKER FOR CARDIOVASCULAR DISEASE In type 2 diabetics, microalbuminuria is the earliest clinical sign indicating vascular damage in the glomerulus, which is reflective of vascular disease throughout the body.
If the provider had documented “ESRD due to diabetic nephropathy and hypertension,” the appropriate codes would have been E11. 21, Type 2 diabetes with diabetic nephropathy, I12. 0 Hypertensive chronic kidney disease with stage 5 chronic kidney disease, and N18.
Type 2 diabetes mellitus with diabetic nephropathy E11. 21 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. 21 became effective on October 1, 2021.
Kimmelstiel-Wilson syndrome is a kidney condition associated with long-standing diabetes. It affects the network of tiny blood vessels (the microvasculature) in the glomerulus, a key structure in the kidney that is composed of capillary blood vessels and which is critically necessary for the filtration of the blood.
ICD-10-CM Code for Secondary hyperparathyroidism of renal origin N25. 81.
Hypertension concurrent and due to end stage renal disease on dialysis due to type 2 diabetes mellitus
Chronic kidney disease due to type 2 diabetes mellitus with hyperparathyroidism due to end stage renal disease on dialysis
The 2022 edition of ICD-10-CM E11.22 became effective on October 1, 2021.
For gestational diabetes (diabetes that occurs during pregnancy) women should be assigned a code under the 024.4 subheading and not any other codes under the 024 category.
The code for long-term use of insulin, Z79.4, should also be used in these cases (unless insulin was just given to the patient as a one-time fix to bring blood sugar under control).
ICD-10 codes refer to the codes from the 10th Revision of the classification system. ICD-10 officially replaced ICD-9 in the US in October of 2015.
The switch to ICD-10 was a response to the need for doctors to record more specific and accurate diagnoses based on the most recent advancements in medicine. For this reason, there are five times more ICD-10 codes than there were ICD-9 codes. The ICD-10 codes consist of three to seven characters that may contain both letters and numbers.
The “unspecified” codes can be used when not enough information is known to give a more specific diagnosis; in that case, “unspecified” is technically more accurate than a more specific but as yet unconfirmed diagnosis. For more guidelines on using ICD-10 codes for diabetes mellitus, you can consult this document.
The more characters in the code, the more specific the diagnosis, so when writing a code on a medical record you should give the longest code possible while retaining accuracy.
Here's a conversion table that translates the old ICD-9 codes for diabetes to ICD-10 codes. There weren’t as many codes to describe different conditions in the ICD-9, so you’ll notice that some of them have more than one possible corresponding ICD-10 code. Some are also translated into a combination of two ICD-10 codes (note the use of the word "and").
Follow the instructions in the Tabular List of ICD-10-CM for proper sequencing of these diagnosis codes. For example, if a patient has secondary diabetes as a result of Cushing’s syndrome and no other manifestations, report code E24.9 Cushing’s syndrome, unspecified, followed by E08.9 Diabetes mellitus due to underlying condition without manifestations. If a patient is diagnosed with secondary diabetes due to the adverse effects of steroids, report codes E09.9 Drug or chemical induced diabetes without complications and T38.0X5A Adverse effect of glucocorticoids and synthetic analogues, initial encounter.
Codes for gestational diabetes are in subcategory O24.4. These codes include treatment modality — diet alone, oral hypoglycemic drugs, insulin — so you do not need to use an additional code to specify medication management. Do not assign any other codes from category O24 with the O24.4 subcategory codes.
In patients with type 2 diabetes, problems begin when the cells in their body start to not respond to insulin as well as they should. This is called insulin resistance, which causes high blood sugar levels (hyperglycemia). The pancreas responds by making more insulin to try and manage the hyperglycemia, but eventually, the pancreas can’t keep up and blood sugar levels rise. Left uncontrolled, the disease progresses into prediabetes and, eventually, type 2 diabetes. This is the most common type of diabetes and is initially treated with lifestyle modification including a healthy diet and exercise. If these measures are not effective, treatment generally starts with an oral hypoglycemic agent. If better control is needed, injectable medications or insulin may be initiated to help manage blood sugar levels and avoid complications.
Report encounters related to pregnancy and diabetes using codes in Chapter 15 Pregnancy, Childbirth, and the Puerperium. If a pregnant woman has pre-existing diabetes that complicates the pregnancy, Chapter 15 guidelines instruct us to assign a code from O24 first, followed by the appropriate diabetes code (s) from Chapter 4 (E08–E13). Report codes Z79.4 or Z79.84 if applicable.
Secondary diabetes — DM that results as a consequence of another medical condition — is addressed in Chapter 4 guidelines. These codes, found under categories E08, E09, and E13, should be listed first, followed by the long-term therapy codes for insulin or oral hypoglycemic agents.
Type 1.5 diabetes is a form of diabetes in which an adult has features of both type 1 and type 2 diabetes. These patients have also been described with the terms “latent autoimmune diabetes of adults” (LADA), and “slow-progressing type 1 diabetes.” The condition has also been called “double” diabetes, because individuals demonstrate both the autoimmune destruction of beta cells of type 1 diabetes and the insulin resistance characteristic of type 2 diabetes. People with type 1.5 diabetes have autoantibodies to insulin-producing beta cells and gradually lose their insulin-producing capability, requiring insulin within 5–10 years of diagnosis.
Left uncontrolled, the disease progresses into prediabetes and, eventually, type 2 diabetes. This is the most common type of diabetes and is initially treated with lifestyle modification including a healthy diet and exercise. If these measures are not effective, treatment generally starts with an oral hypoglycemic agent.