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:
The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
When Diabetes Causes Stomach Problems
Code annotations containing back-references to E11.43:Code First: K31.84. ICD-10-CM Diagnosis Code K31.84. Gastroparesis. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. ... Type 2 Excludes: K31. ICD-10-CM Diagnosis Code K31. Other diseases of stomach and duodenum.
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.
Gastroparesis, K31. 84 is the ICD-10 diagnosis code, CPT® 0355T. Gastroparesis is a clinical disorder that influences the normal peristalsis movement of the muscles in your stomach.
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z76. 89, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first.
Gastroparesis, also called delayed gastric emptying, is a disorder in which the stomach takes too long to empty its contents. It often occurs in people with type 1 diabetes or type 2 diabetes. Gastroparesis happens when nerves to the stomach are damaged or stop working.
E08. 1 Diabetes mellitus due to underlying condition... E08. 10 Diabetes mellitus due to underlying condition...
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.
R68.81ICD-10 code R68. 81 for Early satiety is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
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 .
Persons encountering health services in other specified circumstancesICD-10 code Z76. 89 for Persons encountering health services in other specified circumstances is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Z76. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-10 code: Z76. 9 Person encountering health services in unspecified circumstances.
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??
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.