Diabetes Mellitus and the Use of Insulin and Oral Hypoglycemic Drugs If the documentation in a medical record does not indicate the type of diabetes but does indicate that the patient uses insulin: Assign code E11-, Type 2 diabetes mellitus. Assign code Z79.4, Long term (current) use of insulin, or Z79.84, Long-term (current) use of oral
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 you can do
Other specified diabetes mellitus without complications The 2022 edition of ICD-10-CM E13. 9 became effective on October 1, 2021.
ICD-9 to ICD-10 Codes for Diabetes Conversion TableICD-9ICD-10249.00E08.9 or E09.9 or E13.9249.01Aug 7, 2016
ICD-10 code: E13. 9 Other specified diabetes mellitus Without complications.
Code DM due to underlying condition with hyperglycemia (E08. 65) as secondary. Rationale: Long-term (current) use of insulin (Z79. 4) should not be coded if insulin is given temporarily to bring the patient's blood sugar under control during an encounter.
The main difference between the type 1 and type 2 diabetes is that type 1 diabetes is a genetic condition that often shows up early in life, and type 2 is mainly lifestyle-related and develops over time. With type 1 diabetes, your immune system is attacking and destroying the insulin-producing cells in your pancreas.
E11. 69 - Type 2 diabetes mellitus with other specified complication. ICD-10-CM.
E13, Other specified diabetes mellitus.
Abstract. Secondary diabetes can be defined as a diabetic condition that develops after the destruction of the beta-cells in the pancreatic islets and/or the induction of insulin resistance by an acquired disease (e.g. endocrinopathies) or others.
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.
You would assign ICD-10 code Z13. 1, Encounter for screening for diabetes mellitus.
In type 2 DM, the pancreas continues to produce insulin but doesn't produce enough and doesn't utilize it properly (insulin resistance). Secondary diabetes is diabetes or glucose intolerance that develops from disorders or conditions other than type 1 or type 2 diabetes or gestational diabetes.
If the type of diabetes mellitus is not documented in the medical record the default is E11. -, Type 2 diabetes mellitus. assigned. An additional code should be assigned from category Z79 to identify the long-term (current) use of insulin or oral hypoglycemic drugs.
It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as E13. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
E13 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2021 edition of ICD-10-CM E13 became effective on October 1, 2020. This is the American ICD-10-CM version of E13 - other international versions of ICD-10 E13 may differ. Use Additional.