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:
The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
When Diabetes Causes Stomach Problems
ICD-10 code E11. 43 which has Type 2 diabetes with diabetic gastroparesis listed under this code, does not instruct to include code for gastroparesis. However K31. 84 instructs to code first underlying disease if known, such as: diabetes, (one of which listed is E11.
E11. 43 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. 43 became effective on October 1, 2021.
K31. 84 – is the ICD-10 diagnosis code to report gastroparesis. Also known as delayed gastric emptying, gastroparesis is a chronic condition that affects the motility in the stomach. The muscles of the stomach, controlled by the vagus nerve, normally contract to move food through the gastrointestinal tract.
ICD-10 Code for Type 1 diabetes mellitus without complications- E10. 9- Codify by AAPC.
Gastroparesis, also called delayed gastric emptying, is a disorder in which the stomach takes too long to empty its contents. It often occurs in people with type 1 diabetes or type 2 diabetes. Gastroparesis happens when nerves to the stomach are damaged or stop working.
K31. 84 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 K31. 84 became effective on October 1, 2021.
E08, Diabetes mellitus due to underlying condition. E09, Drug or chemical induced diabetes mellitus. E10, Type 1 diabetes mellitus. E11, Type 2 diabetes mellitus.
ICD-9 Code Transition: 786.5 Code R07. 9 is the diagnosis code used for Chest Pain, Unspecified. Chest pain may be a symptom of a number of serious disorders and is, in general, considered a medical emergency.
CPT® Code 78264 in section: Gastric emptying imaging study.
You would assign ICD-10 code Z13. 1, Encounter for screening for diabetes mellitus. This code can be found under “Screening” in the Alphabetical Index of the ICD-10 book.
Although "diabetes mellitus with diabetic gastroparesis" is listed as an inclusion term under the appropriate diabetes codes (E08.43, E09.43, E10.43, E11.43, and E13.43) , the code titles are not specific for this condition.
ICD-10 code E11.43 which has Type 2 diabetes with diabetic gastroparesis listed under this code, does not instruct to include code for gastroparesis. However K31.84 instructs to code first underlying disease if known, such as: diabetes, (one of which listed is E11.43). So, for diabetes with gastroparesis....require 2 codes or 1??
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.
If the type of diabetes that the patient has is not documented in the medical record, E11 codes for type 2 diabetes should be used as a default. If the medical record doesn’t say what type of diabetes the patient has but indicates that the patient uses insulin, the Type 2 diabetes codes should also be used.
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.