ICD-10 Coding for Jardiance(E11.9, E11.22, I50.9)
Complete ICD-10-CM coding and documentation guide for Jardiance. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Jardiance
E08-E13Primary Range
Diabetes mellitus
Jardiance is primarily used to manage Type 2 Diabetes Mellitus (T2DM) and its complications.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E11.9 | Type 2 diabetes mellitus without complications | Use when T2DM is documented without specific complications. |
|
| E11.22 | Type 2 diabetes mellitus with diabetic chronic kidney disease | Use when CKD is documented as a complication of T2DM. |
|
| I50.9 | Heart failure, unspecified | Use when heart failure is documented without specific type. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for Jardiance
Essential facts and insights about Jardiance
Primary ICD-10-CM Codes for jardiance
Decision Criteria
clinical Criteria
- Documented diagnosis of T2DM without complications.
Applicable To
- T2DM
Excludes
- Diabetes with complications
Clinical Validation Requirements
- HbA1c >6.5%
Code-Specific Risks
- May lead to undercoding if complications are present.
Coding Notes
- Ensure no complications are present before using this code.
E11.22 - Type 2 diabetes mellitus with diabetic chronic kidney disease
Use when CKD is documented as a complication of T2DM.
Applicable To
- Diabetic nephropathy
Excludes
- CKD not due to diabetes
Clinical Validation Requirements
- eGFR <60 mL/min/1.73m²
- UACR >300 mg/g
Coding Notes
Ensure documentation specifies diabetic etiology for CKD.
I50.9 - Heart failure, unspecified
Use when heart failure is documented without specific type.
Applicable To
- Heart failure
Excludes
- Specific types of heart failure
Clinical Validation Requirements
- BNP >100 pg/mL
- Ejection fraction <40%
Coding Notes
Specify type of heart failure if known.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Chronic kidney disease, stage 3
N18.3Differential 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 Jardiance to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.9.
Impact
Clinical: Inaccurate representation of patient condition., Regulatory: Potential audit risk., Financial: Reduced reimbursement.
Mitigation Strategy
Use specific codes for documented complications.
Impact
Reimbursement: May result in lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on diabetes complications.
Mitigation Strategy
Use E11.22 or other specific codes when complications are documented.
Impact
Risk of undercoding diabetes complications.
Mitigation Strategy
Ensure thorough documentation of all complications.
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 Jardiance, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Jardiance
Use these documentation templates to ensure complete and accurate documentation for Jardiance. These templates include all required elements for proper coding and billing.
T2DM with CKD and HF
Specialty: EndocrinologyRequired Elements
- Diagnosis
- Complications
- Treatment Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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