Find comprehensive information on ketoacidosis diagnosis, including clinical documentation, medical coding, and healthcare guidelines. Learn about diabetic ketoacidosis DKA, alcoholic ketoacidosis AKA, and other types of ketoacidosis. This resource covers ICD-10 codes for ketoacidosis, symptoms of ketoacidosis, treatment of ketoacidosis, and blood gas analysis related to ketoacidosis. Explore the pathophysiology of ketoacidosis and access resources for healthcare professionals, physicians, and medical coders.
Also known as
Diabetes mellitus
Ketoacidosis is a serious complication often associated with diabetes.
Disorders of fluid, electrolyte, and acid-base balance
Ketoacidosis involves a dangerous imbalance of acids and bases in the body.
Other abnormal findings of blood chemistry
Ketoacidosis can be identified through abnormal blood chemistry findings.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the ketoacidosis due to diabetes?
Yes
Type 1 diabetes?
No
Due to alcohol?
When to use each related code
| Description |
|---|
| Diabetic ketoacidosis |
| Alcoholic ketoacidosis |
| Starvation ketoacidosis |
Coding ketoacidosis without specifying the diabetes type (Type 1, Type 2, etc.) leads to inaccurate severity and treatment reflection.
Incorrectly coding related conditions like dehydration or hyperglycemia as separate principal diagnoses with ketoacidosis can inflate reimbursement.
Failure to document and code the underlying cause of ketoacidosis (e.g., infection, medication noncompliance) impacts clinical quality measures and outcome analysis.
Patient presents with diabetic ketoacidosis (DKA), confirmed by hyperglycemia, metabolic acidosis, and ketonemia. Presenting symptoms include polyuria, polydipsia, polyphagia, nausea, vomiting, abdominal pain, and Kussmaul respirations. Blood glucose level significantly elevated at [insert value] mgdL. Arterial blood gas analysis reveals metabolic acidosis with a pH of [insert value], bicarbonate level of [insert value] mEqL, and an anion gap of [insert value]. Serum ketones are positive at [insert value]. Urine dipstick positive for glucose and ketones. Patient's medical history includes type [insert type] diabetes mellitus managed with [insert medication or therapy]. Assessment suggests DKA precipitated by [insert precipitating factor, e.g., infection, medication noncompliance, new-onset diabetes]. Treatment plan includes intravenous fluid resuscitation with normal saline, intravenous insulin infusion per DKA protocol, electrolyte monitoring and replacement (potassium, sodium, chloride, phosphate), continuous cardiac monitoring, and frequent blood glucose checks. Patient will be monitored for signs of cerebral edema and other DKA complications. ICD-10 code E10.10 (for type 1 diabetes) or E11.10 (for type 2 diabetes) with E87.1 (ketoacidosis) is appropriate. Differential diagnosis includes hyperosmolar hyperglycemic state (HHS), alcoholic ketoacidosis, and starvation ketoacidosis. Patient education provided regarding DKA prevention, management, and sick day rules.