ICD-10-CM CATEGORY CODE RANGE SPECIFIC CONDITION ICD-10 CODE Diseases of the Circulatory System I00 –I99 Essential hypertension I10 Unspecified atrial fibrillation I48.91 Diseases of the Respiratory System J00 –J99 Acute pharyngitis, NOS J02.9 Acute upper respiratory infection J06._ Acute bronchitis, *,unspecified J20.9 Vasomotor rhinitis J30.0
In patients with type 1 diabetes mellitus, blood pressure increases and renal function declines after the onset of macroalbuminuria. However, in patients with type 2 diabetes mellitus, hypertension and a decline in renal function may occur when albumin excretion is still in the microalbuminuric range.
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:
E11. 29 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. 29 became effective on October 1, 2021.
9 - see also Proteinuria. Microalbuminuria R80. 9.
High blood sugar levels can damage the blood vessels of the kidneys, which can cause inadequate filtration of blood. After many years, this damage may lead to proteins, such as albumin, leaking into the urine. As such, microalbuminuria may indicate early signs of kidney damage or kidney disease.
Diabetic nephropathy presents in its earliest stage with low levels of albumin (microalbuminuria) in the urine. The most practical method of screening for microalbuminuria is to assess the albumin-to-creatinine ratio with a spot urine test.
The urinary microalbumin/creatinine ratio may be performed on individuals with type 1 or type 2 diabetes, hypertension, a family history of chronic kidney disease, those at intermediate (10-20%) risk for CVD or those with known vascular disease.
Microalbumin is a small amount of a protein called albumin. It is normally found in the blood. Creatinine is a normal waste product found in urine. A microalbumin creatinine ratio compares the amount of albumin to the amount of creatinine in your urine.
The prevalence of the microalbuminuria in our patients with Type-2 diabetes is 31.56% and is not only an early sign of diabetic nephropathy but also a host of other diabetic complications and should be dealt early with strict control of their hyperglycemia and hypertension to help prevent the future complications.
[6,7] Microalbuminuria is the strong predictor of diabetic nephropathy, which is the main cause of morbidity and mortality in patients with diabetes mellitus. Microalbuminuria is also characterized by increased prevalence of arterial hypertension, proliferative retinopathy, and peripheral neuropathy.
Microalbuminuria (MA) is considered to be a risk factor for diabetic nephropathy (DN) and progressive renal insufficiency in diabetes (1,2,3,4,5). Primary prevention of DN is feasible if the factors that initiate the change from normal urinary albumin excretion to MA and from MA to DN can be identified and treated (6).
Microalbuminuria is defined as levels of albumin ranging from 30 to 300 mg in a 24-h urine collection (13). Overt albuminuria, macroalbuminuria, or proteinuria is defined as a urinary albumin excretion of ≥300 mg/24 h. Urinary albuminuria comprises 20–70% or urinary total protein excretion.
Microalbuminuria (MAU), which is the presence of high levels of microalbumin in urine, has been linked to kidney damage or chronic kidney disease (CKD) [1, 2]. The presence of microalbumin in urine can therefore be an important marker for cardiovascular and renal risk in diabetes mellitus [3].
In classical diabetic nephropathy, the first clinical sign is moderately increased urine albumin excretion (microalbuminuria: 30–300 mg/24 h, or 30–300 mg/g creatinine; albuminuria grade A2).
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.
In ICD-9, two codes were required to describe the complication: one for the type of diabetes and one for the complication.
Use a child code to capture more detail. ICD Code E11.2 is a non-billable code. To code a diagnosis of this type, you must use one of the three child codes ...
An example is diabetes with kidney complications. Two of the most commonly diagnosed kidney complications are chronic kidney disease (CKD) and diabetic nephropathy. Diabetic nephropathy is diagnosed, and typically manifests as, microalbuminuria.
R80.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018 edition of ICD-10-CM R80.9 became effective on October 1, 2017. This is the American ICD-10-CM version of R80.9 - other international versions of ICD-10 R80.9 may differ. The following code (s) above R80.9 contain annotation back-references In this context, annotation back-references refer to codes that contain: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded. Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification. The conditions and signs or symptoms included in categories R00 - R94 consist of: (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated; (b) signs or symptoms existing at the time of initial encounter Continue reading >>
It is related to diabetic ketoacidosis ( DKA), another complication of diabetes more often (but not exclusively) encountered in people with type 1 diabetes; they are differentiated with measurement of ketone bodies, organic molecules that are the underlying driver for DKA but are usually not detectable in HHS.
While nephropathy does mean kidney disease, it is not to be used interchangeably with CKD. The examples of kidney complications are: E11.21 type 2 DM with diabetic nephropathy, type 2 DM with intercapillary glomerulosclerosis, type 2 DM with intracapillary glomerulosclerosis, o Continue reading >>.