icd 10 code for hyperglycemic hyperosmolar syndrome

by Lew Cormier Published 2 years ago Updated 1 year ago 7 min read

ICD-10-CM Code for Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E11. 00.

What is the ICD-10 coding code for hyperglycemia?

Mar 14, 2020 · Type 2 diabetes mellitus without complications E11. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. What is Type 2 diabetes mellitus with Hyperosmolarity? Diabetic hyperosmolar (hi-pur-oz-MOE-lur) syndrome is a serious condition caused by extremely high blood sugar levels.

What is the ICD 10 diagnosis code for?

ICD-10-CM Diagnosis Code E08.00 [convert to ICD-9-CM] Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic - hyperosmolar coma (NKHHC) ICD-10-CM Diagnosis Code E09.01 [convert to ICD-9-CM] Drug or chemical induced diabetes mellitus with hyperosmolarity with coma

What is diabetes insipidus ICD 10 code?

Oct 01, 2021 · 2022 ICD-10-CM Diagnosis Code E11.00 2022 ICD-10-CM Diagnosis Code E11.00 Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code E11.00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement …

What is ICD 10 code for hypothyroidism?

The ICD code E10 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.

What is hyperosmolar hyperglycemia syndrome?

Overview. Diabetic hyperosmolar (hi-pur-oz-MOE-lur) syndrome is a serious condition caused by extremely high blood sugar levels. The condition most commonly occurs in people with type 2 diabetes.Jul 25, 2020

How is hyperosmolar hyperglycemic state diagnosis?

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.

What is hyperosmolar hyperglycemic state vs DKA?

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.Sep 13, 2021

Is HHS the same as HHNS?

Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS), also known as Hyperosmolar Hyperglycaemic State (HHS) is a dangerous condition resulting from very high blood glucose levels. HHNS can affect both types of diabetics, yet it usually occurs amongst people with type 2 diabetes.

What are the diagnostic criteria for HHS?

Diagnostic Testing

Initial laboratory findings in patients with HHS include marked elevations in blood glucose levels (greater than 600 mg per dL [33.3 mmol per L]) and in serum osmolarity (greater than 320 mOsm per L of water [normal = 290 ± 5]), with a pH level greater than 7.30 and mild or absent ketosis.Dec 1, 2017

What is C peptide an indicator of?

C-peptide is a sign that your body is producing insulin. A low level (or no C-peptide) indicates that your pancreas is producing little or no insulin. A low level may be normal if you have not eaten recently. Your blood sugar and insulin levels would naturally be low then.

What is worse DKA or HHS?

Hyperosmolar hyperglycemic state (HHS) is one of two serious metabolic derangements that occur in patients with diabetes mellitus (DM). It is a life-threatening emergency that, although less common than its counterpart, diabetic ketoacidosis (DKA), has a much higher mortality rate, reaching up to 5-10%.Jan 5, 2021

What are the similarities and differences between HHS and DKA?

Both DKA and HHS are characterized by hyperglycemia and absolute or relative insulinopenia. Clinically, they differ by the severity of dehydration, ketosis, and metabolic acidosis (17). DKA most often occurs in patients with T1D.May 9, 2021

What is the difference between DKA and honk?

The key distinction between DKA and HONK seems to be the fact that in HONk, there is still enough insulin to overcome the ketogenic effects of glucagon. Glucagon inhibits acetyl-CoA carboxylase, which normally converts acetyl-CoA into malonyl-CoA.Nov 10, 2018

What is Rabson-Mendenhall syndrome?

Rabson–Mendenhall syndrome is a rare autosomal recessive disorder characterized by severe insulin resistance. The disorder is caused by mutations in the insulin receptor gene. Symptoms include growth abnormalities of the head, face and nails, along with the development of acanthosis nigricans. Treatment involves controlling blood glucose levels by ...

What causes acanthosis nigricans?

The disorder is caused by mutations in the insulin receptor gene. Symptoms include growth abnormalities of the head, face and nails, along with the development of acanthosis nigricans. Treatment involves controlling blood glucose levels by using insulin and incorporating a strategically planned, controlled diet.

What is the ICd 10 code for diabetes mellitus?

E11.00 is a billable diagnosis code used to specify a medical diagnosis of type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (nkhhc). The code E11.00 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code E11.00 might also be used to specify conditions or terms like hyperglycemia due to diabetes mellitus, hyperglycemic crisis due to diabetes mellitus, hyperosmolar non-ketotic state due to diabetes mellitus or severe hyperglycemia due to diabetes mellitus.#N#The code E11.00 is linked to some Quality Measures as part of Medicare's Quality Payment Program (QPP). When this code is used as part of a patient's medical record the following Quality Measures might apply: Diabetes: Hemoglobin A1c (hba1c) Poor Control (>9%) , Diabetes: Eye Exam.

What is a diabetes mellitus code?

The diabetes mellitus codes are combination codes that include the type of diabetes mellitus, the body system affected, and the complications affecting that body system. As many codes within a particular category as are necessary to describe all of the complications of the disease may be used.

What are the long term complications of diabetes?

Other long-term complications of diabetes include skin problems, digestive problems, sexual dysfunction, and problems with your teeth and gums. Very high or very low blood sugar levels can also lead to emergencies in people with diabetes.

What is the difference between type 2 diabetes and type 2 diabetes?

Diabetes means your blood glucose, or blood sugar, levels are 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.

What is the function of insulin in diabetes?

In this form of diabetes, the body stops using and making insulin properly. Insulin is a hormone produced in the pancreas that helps regulate blood sugar levels. Specifically, insulin controls how much glucose (a type of sugar) is passed from the blood into cells, where it is used as an energy source.

What is the GEM crosswalk?

The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code E11.00 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.

What is the E11.00 code?

When code E11.00 is part of the patient's diagnoses the following Quality Measures apply and affect reimbursement. The objective of Medicare's Quality Measures is to improve patient care by making it more: effective, safe, efficient, patient-centered and equitable.

What is the name of the condition where blood sugar is too high?

Hyperosmolar hyperglycemic syndrome (HHS) is a serious complication of diabetes mellitus. HHS occurs when a person’s blood glucose (sugar) levels are too high for a long period, leading to severe dehydration (extreme thirst) and confusion. Hyperosmolar hyperglycemic syndrome is also known by many other names, including:

What is the term for a person who has high blood sugar?

Hyperosmolar hyperglycemic syndrome ( HHS) is a serious complication of diabetes mellitus. HHS occurs when a person’s blood glucose (sugar) levels are too high for a long period, leading to severe dehydration (extreme thirst) and confusion.

What is the complication of diabetes mellitus?

A serious complication of diabetes mellitus, hyperosmolar hyperglycemic syndrome (HHS) happens when blood sugar levels are very high for a long period of time. Symptoms of HHS can include extreme thirst, frequent urination, changes in your vision and confusion. HHS is an emergency and you should contact your healthcare provider immediately ...

Can HHS be fatal?

HHS can be fatal if it’s not treated. Rarely, HHS can affect children and young adults who have type 1 or type 2 diabetes, especially if they are obese. Very rarely, people who have not yet been diagnosed with diabetes can develop HHS.

Why does glucose build up in the body?

The glucose builds up because their bodies either don’t make enough insulin, or have trouble using the insulin that they do make. (Insulin is a naturally occurring hormone, produced by the beta cells of the pancreas, which helps the body use sugar for energy.)

What happens when blood sugar is too high?

HHS occurs when the blood sugar of a person with diabetes becomes too high (hyperglycemia) for a long time. The extra sugar is passed into the urine, which causes the person to urinate frequently. As a result, he or she loses a lot of fluid, which can lead to severe dehydration (extreme thirst).

Can diabetes cause thirst?

As a result, he or she loses a lot of fluid, which can lead to severe dehydration (extreme thirst). HHS usually develops in people who do not have their type 2 diabetes under control and they: Have an illness or infection, such as pneumonia or a urinary tract infection. Stop taking medication to manage their diabetes.