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-10 Code: E11* – Type 2 Diabetes Mellitus.
ICD-10-CM Code for Type 2 diabetes mellitus with other specified complication E11. 69.
The 2022 edition of ICD-10-CM E78. 2 became effective on October 1, 2021. This is the American ICD-10-CM version of E78.
Coding Diabetes Mellitus in ICD-10-CM: Improved Coding for Diabetes Mellitus Complements Present Medical ScienceE08, Diabetes mellitus due to underlying condition.E09, Drug or chemical induced diabetes mellitus.E10, Type 1 diabetes mellitus.E11, Type 2 diabetes mellitus.E13, Other specified diabetes mellitus.
8 for Type 2 diabetes mellitus with unspecified complications is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
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.
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).
Familial combined hyperlipidemia is a disorder that is passed down through families. It causes high cholesterol and high blood triglycerides.
The medical term for high blood cholesterol is lipid disorder, hyperlipidemia, or hypercholesterolemia.
Hyperlipidemia means your blood has too many lipids (or fats), such as cholesterol and triglycerides. One type of hyperlipidemia, hypercholesterolemia, means you have too much non-HDL cholesterol and LDL (bad) cholesterol in your blood. This condition increases fatty deposits in arteries and the risk of blockages.
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.
Altogether when body gets extra cholesterol, it gets stored in blood vessels. LDL cholesterol –These are called “bad cholesterol” because it gets stored in blood vessels. HDL cholesterol – These are called “good cholesterol” because it transports part of LDL from blood to liver and it will be expelled from the body.
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. C.