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
Coding in ICD-9-CM
The ICD-9-CM consists of:
Short description: Long-term use of insulin. ICD-9-CM V58.67 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V58.67 should only be used for claims with a date of service on or before September 30, 2015.
ICD-10 code E11. 8 for Type 2 diabetes mellitus with unspecified complications is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
Table 5ICD-9-CM diagnosis codes defining diabetesDescriptionICD-9-CM codeDiabetes with other specified manifestations250.8xDiabetes with unspecified complications250.9xDiabetes – not stated as uncontrolled250.x0 or 250.x1Diabetes – uncontrolled250.x2 or 250.x38 more rows
Its corresponding ICD-9 code is 250. Code I10 is the diagnosis code used for Type 2 Diabetes Mellitus. It is a disease in which the body does not control the amount of glucose (a type of sugar) in the blood and the kidneys make large amounts of urine.
ICD-10 Code for Pre-existing type 2 diabetes mellitus, in pregnancy, first trimester- O24. 111- Codify by AAPC.
ICD-10 code E11. 65 represents the appropriate diagnosis code for uncontrolled type 2 diabetes without complications.
Uncontrolled diabetes is diagnosed when your blood glucose (sugar) levels are 180 milliliters per deciliter (ml/dL) or higher. When diabetes is uncontrolled, persistently high blood sugar levels can damage nerves, blood vessels, and vital organs.
E11. 9 - Type 2 diabetes mellitus without complications. ICD-10-CM.
ICD-Code I10 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Essential (Primary) Hypertension.
E10 Insulin-dependent diabetes mellitus.
The ICD-10 code for prediabetes is R73. 09.
4–5. To report Type 1.5 diabetes mellitus, coders should assign ICD-10-CM codes from category E13. - (other specified diabetes mellitus). In this case, the provider specifically documented “combination Type 1 and 2 diabetes mellitus in poor control”; therefore, the coder should assign code E13.
E11. 22 states within its code DM with CKD therefore it is a more accurate code than E11. 21 which is just DM with Nephropathy (any kidney condition).
250.00 is a legacy non-billable code used to specify a medical diagnosis of diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
With type 2 diabetes, the more common type, your body does not make or use insulin well. Insulin is a hormone that helps glucose get into your cells to give them energy. Without insulin, too much glucose stays in your blood.
Over time, high blood glucose can lead to serious problems with your heart, eyes, kidneys, nerves, and gums and teeth. You have a higher risk of type 2 diabetes if you are older, obese, have a family history of diabetes, or do not exercise. Having prediabetes also increases your risk.
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.