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:
Prediabetes
ICD-10 code K31. 84 for Gastroparesis is a medical classification as listed by WHO under the range - Diseases of the digestive system .
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.
ICD-Code E11* is a non-billable ICD-10 code used for healthcare diagnosis reimbursement of Type 2 Diabetes Mellitus. Its corresponding ICD-9 code is 250. Code I10 is the diagnosis code used for Type 2 Diabetes Mellitus.
ICD-10-CM Code for Type 2 diabetes mellitus with other specified complication E11. 69.
People with diabetes are at increased risk for gastroparesis—a digestive disorder that can cause severe symptoms and affect quality of life. Diabetes is the most common known cause of gastroparesis, a digestive disorder that may lead to poor nutrition, problems managing blood glucose, and a reduced quality of life.
ICD-10 code A09 for Infectious gastroenteritis and colitis, unspecified is a medical classification as listed by WHO under the range - Certain infectious and parasitic diseases .
ICD-10 code: E11. 9 Type 2 diabetes mellitus Without complications.
ICD-10 Code Z79. 4, Long-term (current) use of insulin should be assigned to indicate that the patient uses insulin for Type 2 diabetes mellitus (Category E11* codes). Z79. 4 should NOT be used for Type 1 diabetes mellitus (Category E10* codes).
E11. 69 - Type 2 diabetes mellitus with other specified complication. ICD-10-CM.
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.
So yes, use the appropriate combination codes, being E11. 22, I12. 9 and N18. 3.
Type 2 diabetes mellitus withICD-10 Code for Type 2 diabetes mellitus with other circulatory complications- E11. 59- Codify by AAPC.
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??
Multiple coding should not be used when the classification provides a combination code that clearly identifies all of the elements documented in the diagnosis. When the combination code lacks necessary specificity in describing the manifestation or complication, an additional code should be used as a secondary code.
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.