The reason why there is no code for this condition is because hyperosmolarity occurs more often with Type 2 diabetes, but can be diagnosed with Type 1. Editor’s note: Adrienne Commeree, CPC, CPMA, CCS, CEMC, CPIP, answered this question during the HCPro webinar, “2018 ICD-10-CM Coding Updates.”
Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E11.00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
A: To code for hyperosmolarity with Type 2 diabetes, you might want to consider reporting code E13.00 (other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma). It follows the same coding logic as Type 2 diabetes with ketoacidosis.
E11.00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Type 2 diab w hyprosm w/o nonket hyprgly-hypros coma (NKHHC)
In diabetic hyperosmolar syndrome, your body tries to rid itself of the excess blood sugar by passing it into your urine. Left untreated, diabetic hyperosmolar syndrome can lead to life-threatening dehydration.
Hyperosmolality and hypernatremia E87. 0 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 E87. 0 became effective on October 1, 2021.
A: To code for hyperosmolarity with Type 2 diabetes, you might want to consider reporting code E13. 00 (other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma). It follows the same coding logic as Type 2 diabetes with ketoacidosis.
The hyperglycemia in DKA is the result of three events: (a) increased gluconeogenesis; (b) increased glycogenolysis, and (c) decreased glucose utilization by liver, muscle, and fat.
R13.10Code R13. 10 is the diagnosis code used for Dysphagia, Unspecified. It is a disorder characterized by difficulty in swallowing. It may be observed in patients with stroke, motor neuron disorders, cancer of the throat or mouth, head and neck injuries, Parkinson's disease, and multiple sclerosis.
I63. 9 - Cerebral infarction, unspecified | ICD-10-CM.
Diabetic striatopathy is a syndrome characterized by presence of increased signal with the corpus striatum on T1WI, with contralateral hyperkinetic movement disorders or fleeting sensory-motor manifestations. Commonly observed in patients with type 2 DM, it is less often seen in patients with type 1 DM.
ICD-10-CM Code for Hyperglycemia, unspecified R73. 9.
Hyperosmolar hyperglycemic syndrome is also known by many other names, including: Diabetic HHS. Diabetic hyperosmolar syndrome. Hyperglycemic hyperosmolar nonketotic coma (HHNK).
DKA is characterized by ketoacidosis and hyperglycemia, while HHS usually has more severe hyperglycemia but no ketoacidosis (table 1). Each represents an extreme in the spectrum of hyperglycemia. The precipitating factors, clinical features, evaluation, and diagnosis of DKA and HHS in adults will be reviewed here.
Hyperosmolar hyperglycemic state is diagnosed by blood tests that show very high levels of glucose and very concentrated blood. Treatment is intravenous fluids and insulin. Complications include coma, seizures, and death.
DKA typically evolves within a few hours, whereas HHNS is much slower and occurs over days to weeks, according to 2021 research . The two conditions look similar because of the hyperglycemia component of each condition. Knowing the symptoms of each can help you seek medical care as soon as possible.
The ICD code E11 is used to code Hyperosmolar hyperglycemic state. Hyperosmolar hyperglycemic state (HHS) is a complication of diabetes mellitus (predominantly type 2) in which high blood sugars cause severe dehydration, increases in osmolarity (relative concentration of solute) and a high risk of complications, coma and death.
Use a child code to capture more detail. ICD Code E11.0 is a non-billable code.