Short description: Hyperlipidemia NEC/NOS. ICD-9-CM 272.4 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 272.4 should only be used for claims with a date of service on or before September 30, 2015.
People with Type 2 diabetes are at especially high risk for hyperlipidemia, most commonly in the form of elevated triglyceride levels and decreased HDL levels.
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
E11. 69 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. 69 became effective on October 1, 2021.
250.0xTable 5ICD-9-CM diagnosis codes defining diabetesDescriptionICD-9-CM codeDiabetes mellitus without mention of complications250.0xDiabetes with ketoacidosis250.1xDiabetes with hyperosmolarity250.2xDiabetes with other coma250.3x8 more rows
Familial combined hyperlipidemia (or mixed hyperlipidemia) is a genetic disorder that passes from one family member to another through their genes. If you have this disease, it means you have higher-than-usual levels of: cholesterol. triglycerides. other lipids in your blood.
E78.5E78. 5 is still the appropriate dx is dyslipidemia NOS or hyperlipidemia NOS is what the MD diagnosis.
Diabetes mellitus due to underlying condition without complications. E08. 9 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 E08.
Diabetes mellitus (E10-E14)CodeTitle.0With coma Incl.: Diabetic: coma with or without ketoacidosis hyperosmolar coma hypoglycaemic coma Hyperglycaemic coma NOS.1With ketoacidosis Incl.: Diabetic: acidosis ketoacidosis without mention of coma8 more rows
The non-insulin-dependent diabetic (NIDDM) patient with mild fasting hyperglycemia commonly has mild hypertriglyceridemia due to overproduction of TG-rich lipoproteins in the liver, associated with decreased high-density lipoprotein (HDL) cholesterol levels.
Mixed hyperlipidemia, also called familial combined hyperlipidemia, is a condition that causes elevated levels of fats in the blood, such as low-density lipoprotein (LDL) cholesterol ("bad" cholesterol) and triglycerides. Mixed hyperlipidemia can be passed down through families.
You may hear the term hyperlipidemia used interchangeably with dyslipidemia. But that's not entirely accurate. Hyperlipidemia refers to high levels of LDL or triglycerides. Dyslipidemia can refer to levels that are either higher or lower than the normal range for those blood fats.
Family history of familial hypercholesterolemia Z83. 42 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 Z83. 42 became effective on October 1, 2021.
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.
The 2022 edition of ICD-10-CM E78. 2 became effective on October 1, 2021. This is the American ICD-10-CM version of E78.
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.
Maternal obesity as a risk factor for early childhood type 1 diabetes: a nationwide, prospective, population-based case–control study. NZ case study; A citizen scientist controls autoimmune diabetes without insulin, with a low carb diet, a glucose meter, and metformin.
First, coders will need to have further documentation of hyperglycemia or hypoglycemia as there is no default code for uncontrolled diabetes. Uncontrolled diabetes is classified by type and whether it is hyperglycemia or hypoglycemia. The term uncontrolled is not synonymous with hyperglycemia.
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.
I'm pretty sure all of you who made it thus far in this article are familiar with the fact that there are at least two major types of diabetes: type I, or juvenile, and type II, with usual (though not mandatory) adult onset. Just like ICD-9, ICD-10 has different chapters for the different types of diabetes. The table below presents the major types of diabetes, by chapters, in both ICD coding versions. Diabetes Coding Comparison ICD-9-CM ICD-10-CM 249._ - Secondary diabetes mellitus E08._ - Diabetes mellitus due to underlying condition E09._ - Drug or chemical induced diabetes mellitus E13._ - Other specified diabetes mellitus 250._ - Diabetes mellitus E10._ - Type 1 diabetes mellitus E11._ - Type 2 diabetes mellitus 648._ - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium O24._ - Gestational diabetes mellitus in pregnancy 775.1 - Neonatal diabetes mellitus P70.2 - Neonatal diabetes mellitus This coding structure for diabetes in ICD-10 is very important to understand and remember, as it is virtually always the starting point in assigning codes for all patient encounters seen and treated for diabetes. How To Code in ICD-10 For Diabetes 1. Determine Diabetes Category Again, "category" here refers to the four major groups above (not just to type 1 or 2 diabetes): E08 - Diabetes mellitus due to underlying condition E09 - Drug or chemical induced diabetes mellitus E10 - Type 1 diabetes mellitus E11 - Type 2 diabetes mellitus E13 - Other specified diabetes mellitus Note that, for some reason, E12 has been skipped. Instructions on Diabetes Categories Here are some basic instructions on how to code for each of the diabetes categories above: E08 - Diabetes mellitus due to underlying condition. Here, it is Continue reading >>
If it's not documented as a complication caused by the diabetes, then you can't code it as a complication unless the code book directs you to it through a 'with' entry in the index, as Debra describes above.
In your example, since hyperlipidemia does not appear listed under diabetes as an option after 'with', you cannot presume the causal relationship, and it cannot be coded as a complication of diabetes unless the provider has documented that the diabetes caused that condition. C.
Have you ever thought what our body does with extra calories it gets from food.These are converted to triglycerides and stored in fat cells. When needed, mostly in between meals, it is utilized as energy. So, it is very clear when the amount of extra calorie increases in turn the level of triglycerides also increases.
Body cells require cholesterol for its growth. A part of this is made by liver and another part comes from foods we eat. Altogether when body gets extra cholesterol, it gets stored in blood vessels.
It is located in ICD-10 CM manual chapter 4, Endocrine, nutritional and metabolic diseases (E00-E89)
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.