Health Information Management

Tip: Coding diabetes in ICD-10-CM

APCs Insider, December 5, 2014

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

Codes for reporting conditions relating to the endocrine system are located in Chapter 4 of the ICD-10-CM Manual, Endocrine, Nutritional and Metabolic Diseases, and begin with the letter E.
 
Diabetes will be separated into five categories by the cause or type of the disease. Coders can choose from categories:
  • 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
Coders are also instructed to use an additional code (Z79.4) if the physician documents long-term insulin use for patients with diabetes mellitus for each category except E10.
 
The codes do not use terms such as "controlled" or "uncontrolled," as in ICD-9-CM. Instead, coders will first choose the type of diabetes—type 1, type 2, due to an underlying condition, or due to a drug or chemical—and then choose the code with hyperglycemia when reporting "uncontrolled" diabetes.
 
This tip is adapted from “Catch up on endocrine system anatomy and coding in ICD-10-CM” in the December issue of Briefings on APCs.



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular