ICD-10 Coding for Diabetic Ketoacidosis Unspecified(E13.10)
Complete ICD-10-CM coding and documentation guide for Diabetic Ketoacidosis Unspecified. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Diabetic Ketoacidosis Unspecified
Key Information: ICD-10 code for diabetic ketoacidosis unspecified
Essential facts and insights about Diabetic Ketoacidosis Unspecified
Primary ICD-10-CM Code for diabetic ketoacidosis unspecified
Decision Criteria
clinical Criteria
- Presence of ketoacidosis without coma and unspecified diabetes type.
coding Criteria
- Avoid using if diabetes type is specified.
Applicable To
- Diabetes with ketoacidosis without coma
Clinical Validation Requirements
- Serum glucose >250 mg/dL
- pH <7.3
- Serum bicarbonate <18 mEq/L
- Positive serum/urine ketones
Code-Specific Risks
- Risk of using unspecified code when specific type is known.
Coding Notes
- Ensure diabetes type is specified if known to avoid unspecified coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Acidosis
E87.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Diabetic Ketoacidosis Unspecified to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E13.10.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always document the type of diabetes., Review patient history for diabetes type.
Impact
Reimbursement: Potential lower reimbursement due to unspecified coding., Compliance: Risk of non-compliance with coding guidelines., Data Quality: Decreased data quality and specificity.
Mitigation Strategy
Specify diabetes type to use more specific codes like E10.10 or E11.10.
Impact
Risk of using unspecified codes when diabetes type is known.
Mitigation Strategy
Ensure diabetes type is documented and coded accurately.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Diabetic Ketoacidosis Unspecified, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Diabetic Ketoacidosis Unspecified
Use these documentation templates to ensure complete and accurate documentation for Diabetic Ketoacidosis Unspecified. These templates include all required elements for proper coding and billing.
Emergency Department Admission for DKA
Specialty: Emergency MedicineRequired Elements
- Type of diabetes
- Presence of ketoacidosis
- Lab results
- Treatment initiated
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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