If the diagnosis is DKA (250.10) would you also use 250.01 (diabetes mellitus type 1)?
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Wiki Diabetes diagnosis
- Thread starter kmelling12
- Start date
eadun2000
Expert
Is the patient type 1 or type 2? In the first dx you have it is for type 2 or unspecified, but in the second you say it is type one. It IS going to be 250.1x depending on if it is type 1 or type 2 or unspecified and also depending on whether controlled or uncontrolled or not specified. Also if the patient is in a coma, that also changes the code. So need more information to correctly answer your question.
mitchellde
True Blue
I agree! You also cannot code a 250.1x with a 250.0x because a fourth digit of 0 indicates non complicated and they cannot be non complicated and then also have complications at the same encounter. more information will aid us in assisting you further.
srinivas r sajja
True Blue
Diabetic ketoacidosis (DKA) is coded 250.13, diabetes with ketoacidosis type I [juvenile type],uncontrolled. It is uncontrolled by definition. Code 250.13 is the default, unless the physicianspecifically documents type II.
mitchellde
True Blue
The coding guidelines specify that diabetes is coded as type II unless specified by the physician. While it happens predominantly in those with type 1 diabetes, it can occur in those with type 2 diabetes under certain circumstances. So one cannot automatically assume diabetic ketoacidosis is type 1, without adequate documentation we must follow the guidelines and code it as type II.
srinivas r sajja
True Blue
Diabetic ketoacidosis (DKA) is coded 250.13, diabetes with ketoacidosis type I [juvenile type],
uncontrolled. It is uncontrolled by definition. Code 250.13 is the default, unless the physician
specifically documents type II. Prior to 7/15/06, DKA was coded 250.11, unless specifically
identified as NIDD (250.10). (See Coding Clinic, second quarter 2006, pages 19 and 20, and
Coding Clinic, third quarter 1991, pages 6 and 7.)
uncontrolled. It is uncontrolled by definition. Code 250.13 is the default, unless the physician
specifically documents type II. Prior to 7/15/06, DKA was coded 250.11, unless specifically
identified as NIDD (250.10). (See Coding Clinic, second quarter 2006, pages 19 and 20, and
Coding Clinic, third quarter 1991, pages 6 and 7.)
mitchellde
True Blue
I would have to disagree even with the AHA on this one. I do not have access to either of those issues of the Coding Clinic so I am unable to see the context in which they wrote that statement. From the American diabetes association:
"Ketoacidosis may happen to anyone with diabetes, though it is rare in people with type 2."
So while it is more common in those with type 1, we cannot assume this and I still feel that the guidelines must be followed and we will default to type 2.
"Ketoacidosis may happen to anyone with diabetes, though it is rare in people with type 2."
So while it is more common in those with type 1, we cannot assume this and I still feel that the guidelines must be followed and we will default to type 2.
srinivas r sajja
True Blue
I love that spirit. Thank you Mitchelle!
srinivas r sajja
True Blue
Thank you Mitchelld