Stress hyperglycemia (also called stress diabetes or diabetes of injury) is a medical term referring to transient elevation of the blood glucose due to the stress of illness. It usually resolves spontaneously, but must be distinguished from various forms of diabetes mellitus.
ICD-10 code E11. 65 for Type 2 diabetes mellitus with hyperglycemia is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
Yes, both physical and emotional stress can impact blood sugar and make it unpredictable. Most commonly, stress will raise blood sugar in people with type 1 and type 2 diabetes. However, in people with type 1, stress can also lower blood sugar levels.
If a member has been diagnosed with prediabetes, or has had a previous diagnosis of diabetes and the disease is now considered latent or dormant (per the provider's documentation) the ICD-10 code R73. 09, Other abnormal glucose, should be assigned.
Type 2 diabetes with hyperglycemia occurs when a person's blood sugar elevates to potentially dangerous levels that require medical treatment. A person living with type 2 diabetes can experience either hyperglycemia, which means an elevated blood glucose level, or hypoglycemia, which refers to a low level.
ICD-10 code E11. 65 represents the appropriate diagnosis code for uncontrolled type 2 diabetes without complications.
When stressed, the body prepares itself by ensuring that enough sugar or energy is readily available. Insulin levels fall, glucagon and epinephrine (adrenaline) levels rise and more glucose is released from the liver.
Stress is a potential contributor to chronic hyperglycemia in diabetes. Stress has long been shown to have major effects on metabolic activity. Energy mobilization is a primary result of the fight or flight response. Stress stimulates the release of various hormones, which can result in elevated blood glucose levels.
However, elevated cortisol over the long term consistently produces glucose, leading to increased blood sugar levels. Theoretically, this mechanism can increase the risk for type 2 diabetes, although a causative factor is unknown.
Code R53. 83 is the diagnosis code used for Other Fatigue. It is a condition marked by drowsiness and an unusual lack of energy and mental alertness. It can be caused by many things, including illness, injury, or drugs.
If the type 2 diabetic patient uses insulin or oral hypoglycemic medication, the medications can be coded as Z79. 4 or Z79. 84, respectively. If the diabetic patient takes both oral medication and insulin, it is only necessary to code the insulin usage.
Type 2 diabetes mellitus with unspecified complications E11. 8 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. 8 became effective on October 1, 2021.