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E10.9
ICD-10-CM
Insulin-Dependent Diabetes Mellitus

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

IDDM
Type 1 Diabetes Mellitus
Juvenile Diabetes
+2 more

Related ICD-10 Code Ranges

Complete code families applicable to AAPC E10.9 Coding
E10

Type 1 diabetes mellitus

Diabetes due to absolute insulin deficiency.

E11

Type 2 diabetes mellitus

Diabetes due to insulin resistance with relative insulin deficiency.

Z79.4

Long term (current) use of insulin

Indicates current insulin use for diabetes or other conditions.

E13

Other specified diabetes mellitus

Includes diabetes types not classified as type 1 or type 2.

Code-Specific Guidance

Decision Tree for

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.

Code Comparison

Related Codes Comparison

When to use each related code

Description
Type 1 Diabetes
Type 2 Diabetes
Latent Autoimmune Diabetes in Adults

Documentation Best Practices

Documentation Checklist
  • Diabetes mellitus type 1 diagnosis criteria
  • Fasting plasma glucose >= 126 mg/dL
  • Random glucose >= 200 mg/dL + symptoms
  • A1C >= 6.5% (document method)
  • Insulin dependence documented

Coding and Audit Risks

Common Risks
  • Type Misspecification

    Coding type 1 diabetes as type 2 or vice versa due to documentation ambiguity impacts severity and treatment.

  • Comorbidity Omission

    Failing to code associated conditions like retinopathy or nephropathy leads to inaccurate risk adjustment.

  • Age at Diagnosis

    Inaccurate documentation of age at diagnosis, particularly in childhood diabetes, affects coding and reporting accuracy.

Mitigation Tips

Best Practices
  • Accurate ICD-10-CM coding: E10.xx for IDDM
  • Detailed documentation of insulin usage, type, and frequency
  • Monitor HbA1c levels, document for CDI and compliance
  • Regular eye, foot exams documented for diabetic complications
  • Patient education: self-management, medication adherence

Clinical Decision Support

Checklist
  • 1. Fasting plasma glucose >= 126 mg/dL (ICD-10 E10.9)
  • 2. HbA1c >= 6.5% (LOINC 4548-4)
  • 3. Random glucose >= 200 mg/dL + symptoms (SNOMED CT 48023004)
  • 4. 2-hour plasma glucose >= 200 mg/dL during OGTT (CPT 82950)

Reimbursement and Quality Metrics

Impact Summary
  • Insulin-Dependent Diabetes Mellitus reimbursement hinges on accurate ICD-10-CM coding (E10 Type 1, E11 Type 2 with complications) and proper documentation for maximum claim acceptance.
  • Diabetes quality metrics impact: HbA1c control, eye exam rates, nephropathy screening directly affect hospital reimbursement and quality scores.
  • Coding accuracy for diabetes impacts CMI and risk adjustment models, influencing future reimbursement rates and hospital resource allocation.
  • Diabetes with complications requires specific diagnosis codes for accurate reflection of patient acuity and justification of higher reimbursement.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code E10.9 for T1DM unspecified
  • Document insulin dependence clearly
  • Specify any complications with codes
  • Query physician if documentation unclear
  • Review ICD-10 guidelines for diabetes

Documentation Templates

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.