Find information on Insulin-Dependent Diabetes Mellitus, including Type 1 Diabetes diagnosis codes, clinical documentation improvement tips for diabetes management, and healthcare guidelines for insulin therapy. Learn about ICD-10-CM codes for diabetes with proliferative diabetic retinopathy and diabetic ketoacidosis. Explore resources for diabetes mellitus type 1 diagnosis, treatment, and long-term care management. Understand the importance of accurate medical coding for diabetes and its complications for optimal reimbursement and patient care.
Also known as
Type 1 diabetes mellitus
Diabetes due to absolute insulin deficiency.
Type 2 diabetes mellitus
Diabetes due to insulin resistance with relative insulin deficiency.
Long term (current) use of insulin
Indicates current insulin use for diabetes or other conditions.
Other specified diabetes mellitus
Includes diabetes types not classified as type 1 or type 2.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the diabetes type 1?
Yes
With proliferative diabetic retinopathy?
No
Do NOT code as type 1. Review patient history for correct diabetes type and code accordingly.
When to use each related code
Description |
---|
Type 1 Diabetes |
Type 2 Diabetes |
Latent Autoimmune Diabetes in Adults |
Coding type 1 diabetes as type 2 or vice versa due to documentation ambiguity impacts severity and treatment.
Failing to code associated conditions like retinopathy or nephropathy leads to inaccurate risk adjustment.
Inaccurate documentation of age at diagnosis, particularly in childhood diabetes, affects coding and reporting accuracy.
Patient presents with classic symptoms of insulin-dependent diabetes mellitus, also known as type 1 diabetes, including polyuria, polydipsia, polyphagia, and unexplained weight loss. The patient reports increased frequency of urination, excessive thirst, and constant hunger despite increased food intake. Recent weight loss of [amount] pounds has been noted over the past [duration]. Presenting blood glucose level is [value] mgdL. Family history is positive for autoimmune disorders, though not specifically type 1 diabetes. Based on the patient's symptoms, elevated blood glucose, and family history suggesting autoimmune predisposition, a diagnosis of insulin-dependent diabetes mellitus (type 1 diabetes) is made. The patient's HbA1c is [value], further supporting the diagnosis. Differential diagnoses considered include type 2 diabetes and maturity-onset diabetes of the young (MODY). However, the patient's presentation, age, and rapid onset of symptoms point towards type 1 diabetes. Treatment plan includes initiation of insulin therapy with a basal-bolus regimen, diabetes self-management education and training (DSMT), regular blood glucose monitoring, nutritional counseling for diabetic meal planning, and close follow-up to monitor glycemic control and assess for potential complications such as diabetic ketoacidosis (DKA), retinopathy, neuropathy, and nephropathy. Patient education materials on insulin administration, carbohydrate counting, and hypoglycemia management were provided. Follow-up appointment scheduled in two weeks to review insulin titration, self-monitoring blood glucose logs, and address any concerns. ICD-10 code E10.9 and relevant CPT codes for diabetes management, education, and evaluation will be documented for medical billing and coding purposes.