When diagnosing metabolic syndrome, physicians look for at least three of the following:
Metabolism and Metabolic Syndrome Explained
Metabolic syndrome
Metabolic syndrome is a condition that includes a cluster of risk factors specific for cardiovascular disease. The cluster of metabolic factors include abdominal obesity, high blood pressure, impaired fasting glucose, high triglyceride levels, and low HDL cholesterol levels.
Diabetes mellitus is a group of metabolic disorders of carbohydrate metabolism characterized by high blood glucose levels (hyperglycemia) and usually resulting from insufficient production of the hormone insulin (type 1 diabetes) or an ineffective response of cells to insulin (type 2 diabetes).
Obesity, commonly found in people with metabolic syndrome, makes it more difficult for cells in the body to respond to insulin. If the body can't make enough insulin to override the resistance, the blood sugar level increases, causing type 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.
Metabolic syndrome is not a disease in itself, but a collection of risk factors for that often occur together. A person is diagnosed as having metabolic syndrome when they have any three or more of: central (abdominal) obesity – excess fat in and around the stomach (abdomen) raised blood pressure (hypertension)
Having metabolic syndrome can increase your risk of developing: Type 2 diabetes. If you don't make lifestyle changes to control your excess weight, you may develop insulin resistance, which can cause your blood sugar levels to rise. Eventually, insulin resistance can lead to type 2 diabetes.
Prediabetes, which is a combination of excess body fat and insulin resistance, is considered an underlying etiology of metabolic syndrome. Prediabetes manifests as impaired fasting glucose and/or impaired glucose tolerance.
Type 2 diabetes mellitus with other specified complication 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.
ICD-10 code: E11. 9 Type 2 diabetes mellitus Without complications.
E11. 69 - Type 2 diabetes mellitus with other specified complication. ICD-10-CM.
What causes metabolic syndrome?Overweight and obesity.An inactive lifestyle.Insulin resistance, a condition in which the body can't use insulin properly. Insulin is a hormone that helps move blood sugar into your cells to give them energy. ... Age - your risk goes up as get older.Genetics - ethnicity and family history.
According to the NCEP ATP III definition, metabolic syndrome is present if three or more of the following five criteria are met: waist circumference over 40 inches (men) or 35 inches (women), blood pressure over 130/85 mmHg, fasting triglyceride (TG) level over 150 mg/dl, fasting high-density lipoprotein (HDL) ...
Diabetes is the most common metabolic disease. There are two types of diabetes: Type 1, the cause of which is unknown, although there can be a genetic factor.
A condition in which normal metabolic processes are disrupted, usually because of a missing enzyme. A congenital (due to inherited enzyme abnormality) or acquired (due to failure of a metabolic important organ) disorder resulting from an abnormal metabolic process.
The 2022 edition of ICD-10-CM E88.9 became effective on October 1, 2021.
D55 Anemia due to enzyme disorders. D55.0 Anemia due to glucose-6-phosphate dehydrogena... D55.1 Anemia due to other disorders of glutathione ... D55.2 Anemia due to disorders of glycolytic enzymes...
E79.9 Disorder of purine and pyrimidine metabolism,...
The 2022 edition of ICD-10-CM E08.9 became effective on October 1, 2021.
E08.9 describes the manifestation of an underlying disease, not the disease itself.
E08.63 Diabetes mellitus due to underlying condition with oral complications. E08.630 Diabetes mellitus due to underlying condition with periodontal disease. E08.638 Diabetes mellitus due to underlying condition with other oral complications. E08.64 Diabetes mellitus due to underlying condition with hypoglycemia.
In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere.". Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code.
A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
E08.51 Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene. E08.52 Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene. E08.59 Diabetes mellitus due to underlying condition with other circulatory complications.
E10.29 Type 1 diabetes mellitus with other diabetic ...
E11.618 Type 2 diabetes mellitus with other diabetic ...
The ICD10 code for the diagnosis "Metabolic syndrome" is "E88.81". E88.81 is a VALID/BILLABLE ICD10 code, i.e it is valid for submission for HIPAA-covered transactions.
The 2019 edition of ICD-10-CM E88.81 became effective on October 1, 2018.
Follow the instructions in the Tabular List of ICD-10-CM for proper sequencing of these diagnosis codes. For example, if a patient has secondary diabetes as a result of Cushing’s syndrome and no other manifestations, report code E24.9 Cushing’s syndrome, unspecified, followed by E08.9 Diabetes mellitus due to underlying condition without manifestations. If a patient is diagnosed with secondary diabetes due to the adverse effects of steroids, report codes E09.9 Drug or chemical induced diabetes without complications and T38.0X5A Adverse effect of glucocorticoids and synthetic analogues, initial encounter.
Codes for gestational diabetes are in subcategory O24.4. These codes include treatment modality — diet alone, oral hypoglycemic drugs, insulin — so you do not need to use an additional code to specify medication management. Do not assign any other codes from category O24 with the O24.4 subcategory codes.
Report encounters related to pregnancy and diabetes using codes in Chapter 15 Pregnancy, Childbirth, and the Puerperium. If a pregnant woman has pre-existing diabetes that complicates the pregnancy, Chapter 15 guidelines instruct us to assign a code from O24 first, followed by the appropriate diabetes code (s) from Chapter 4 (E08–E13). Report codes Z79.4 or Z79.84 if applicable.
Secondary diabetes — DM that results as a consequence of another medical condition — is addressed in Chapter 4 guidelines. These codes, found under categories E08, E09, and E13, should be listed first, followed by the long-term therapy codes for insulin or oral hypoglycemic agents.
Type 1.5 diabetes is a form of diabetes in which an adult has features of both type 1 and type 2 diabetes. These patients have also been described with the terms “latent autoimmune diabetes of adults” (LADA), and “slow-progressing type 1 diabetes.” The condition has also been called “double” diabetes, because individuals demonstrate both the autoimmune destruction of beta cells of type 1 diabetes and the insulin resistance characteristic of type 2 diabetes. People with type 1.5 diabetes have autoantibodies to insulin-producing beta cells and gradually lose their insulin-producing capability, requiring insulin within 5–10 years of diagnosis.
If you look in the Alphabetic Index under E11.9 Diabetes/type 2/with, you’ll find codes that describe type 2 diabetes with amyotrophy (E11.44), arthropathy NEC (E11.618), autonomic (poly) neuropathy (E11.43), cataract (E11.36), Charcot’s joints (E11.610) , chronic kidney disease (E11 .22) , etc.
The longer someone has diabetes, and the less controlled their blood sugar is, the higher their risk of serious health complications, including: Cardiovascular disease . Kidney damage ( nephropathy)