Question

Code the following diagnoses. ICD 10 CM & ICD 10- PCS

1. Diabetes mellitus, type 1

Diabetic nephrosis

Diabetic nephropathy, also known as diabetic kidney disease, is the chronic loss of kidney function occurring in those with diabetes mellitus.

* Start with Nephrosis - Diabetic and follow the instructional note. OR Start with diabetes Type I with nephropathy.

2. Secondary diabetes mellitus due to pancreatic malignancy

Diabetic cataract

* 2 Diagnosis codes required - 1 for the pancreatic cancer (Neoplasm table) and one for the diabetes (due to underlying condition) with cataract

3. Type 2 diabetes with ketoacidosis

Diabetic ketoacidosis (DKA) is a buildup of acids in your blood. It can happen when your blood sugar is too high for too long.

* Start with Diabetes - Type 2 - with......

4. Diabetes mellitus, type 2, with hyperosmolar, nonketotic coma

* Start with Diabetes - Type 2 - with...…

5. Diabetic Kimmelstiel-Wilson disease

Diabetic nephropathy, also known as Kimmelstiel-Wilson disease or diabetic glomerulosclerosis, deterioration of kidney function occurring as a complication of diabetes mellitus.

6. Chronic kidney disease, stage IV due to type 1 diabetes

*2 diagnosis code required - 1 for the diabetes T1 with chronic kidney disease AND 1 for the stage of the kidney disease

7. Impotence due to diabetic neuropathy.

How Diabetes Causes ED
• Nerves: One of the most common complications of diabetes is neuropathy, or nerve damage. Erection is a function of the parasympathetic nervous system, but orgasm and ejaculation are controlled by the sympathetic system. Neuropathy to either system can cause ED.

*2 diagnosis code required - 1 for the diabetes with neuropathy AND 1 for the impotence (Impotence will direct you to dysfunction - follow that path)

8. Neonatal hypoglycemia

Neonatal hypoglycemia, defined as a plasma glucose level of less than 30 mg/dL (1.65 mmol/L) in the first 24 hours of life and less than 45 mg/dL (2.5 mmol/L) thereafter, is the most common metabolic problem in newborns.

9. Hypoglycemic coma in patient without diabetes

10. Patient with type 2 diabetes mellitus participated in a strenuous game of racquetball without adjusting his insulin dosage; he is admitted with blood sugar of 35 and is diagnosed as being hypoglycemic

* 2 diagnosis code required - one for the diabetes with hypoglycemia and one for the use of insulin

11. Type 1 diabetic developed hypoglycemia even though she had taken only the prescribed dose of insulin and did not alter her exercise or eating regimen

12. Hypercholesterolemia and (with) endogenous hyperglyceridemia

13. Cystic fibrosis with mild mental intellectual disabilities

* 2 diagnosis code required - 1 for the cystic fibrosis and 1 for the intellectual disabilities   

14.. Congenital myxedema

Inappropriate antidiuretic hormone secretion syndrome

* 2 diagnosis required - 1 for the myxedema and 1 for the hormone syndrome

15. Hypokalemia

Hypokalemia, also spelled hypokalaemia, is a low level of potassium (K +) in the blood serum.

16.  Diagnosis:

Uninodular toxic nodular goiter with thyrotoxicosis (Hyperthyroidism)

Procedure:

Open left thyroid lobectomy (complete removal of left thyroid)

17. .Diagnosis:

Adenomatous (nodular) goiter with thyrotoxicosis

Procedure:

Percutaneous endoscopic substernal thyroidectomy , complete (removal of the thyroid gland)

18. Toxic diffuse goiter with thyrotoxic crisis (thyroid storm)

* Remember to start with hyperthyroidism

19. Hypothyroidism , ablative, following total thyroidectomy performed three years ago

* Postsurgical type of Hypothyroidism

20. Diagnosis:

Morbidly obese patient with a BMI of 39 (1 code for the obesity - 1 for the BMI)

Procedure:

Laparoscopic (approach) gastroplasty (body part) with gastric banding (device) restriction (Root Operation)

21. Flushing and sleeplessness (symptomatic) due to premature menopause

22. Fluid overload following blood transfusion due to transfusion associated circulatory overload (TACO)

In transfusion medicine, transfusion associated circulatory overload is a transfusion reaction that occurs due to a rapid transfusion of a large volume of blood.

23. Nutritional anemia with moderate protein-calorie malnutrition and BMI of 18

* 3 diagnosis code required - 1 for the anemia - 1 for the malnutrition - 1 for the BMI

Answer 1

ICD -10-CM code is the tenth version of international classification of disease and is used by the healthcare workers to code a disease and is also used by the insurance company's for reimbursement purpose.

1. ICD code for type 1 diabetes mellitus with diabetes nephropathy is E 10.40

2. ICD code for pancreatic cancer is C25.3 and for diabetics with cataract is E13.36

3. ICD code for type 2 diabetes mellitus with diabetic ketoacidosis is E11.69

4. ICD code for type 2 diabetes mellitus with hyperosmolar non ketotic coma is E11.01