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Endocrine, Nutritional, Metabolic
ICD-10-CM Chapter 4 Endrocrine, Nutrional, and Metabolic Guidelines
11
Health Care
Professional
06/20/2015

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Term
The diabetes mellitus codes are ___ codes that include the ___ of diabetes mellitus, the ___ ___ affected, and the ___ affecting the ___ ___. As many ___ within a particular ___ as are necessary to describe all of the ___ of the disease may be used. They should be ___ based on the reason for a particular encounter. Assign as many codes from categories E08-E13 as needed to identify all of the ___ conditions that the patient has.
Definition
combination
type
body system
complications
body system
codes
category
complications
sequenced
reason
associated
Term
Type of diabetes:
The ___ of a patient is not the ___ determining ___, though most ___ _ diabetics develop the conition before reaching ___. For this reason type _ diabetes mellitus is also referred to as ___ diabetes.
Definition
age
sole
factor
type 1
puberty
1
juvenile
Term
If the ___ of diabetes mellitus is not documented in the medical record the ___ is E11.-, Type 2 diabetes mellitus.
Definition
type
default
2
Term
If the documentation in a medical record does not indicate the ___ of diabetes but does indicate that the patient uses ___, code E11, Type _ diabetes mellitus, should be assigned. Code Z79.4, Long-term (___) use of insulin, should also be assigned to indicate that the patient uses ___. Z79.4 should not be assigned if insulin is given ___ to bring a type 2 patient's blood sugar ___ ___ during an encounter.
Definition
type
insulin
2
current
insulin
temporarily
under control
Term
An ___ of insulin due to an insulin ___ ___ should be assigned to a code from subcategory T85.6, ___ ___ of other specified internal and external prosthetic devices, ___ and grafts, that specifies the type of ___ ___, as the ___ or first-listed code, followed by code T38.3x6-, ___ of insulin and oral ___ [antidiabetic] drugs. ___ codes for the type of diabetes mellitus and any associated complications due to the ___ should also be assigned.
Definition
underdose
pump failure
Mechanical complication
implants
pump malfuncion
principal
Underdosing
hypoglycemic
Additional
underdosing
Term
The ___ of first-listed code for an encoutner due to an insulin pump ___ resulting in an ___ of insulin, should also be T85.6-, ___ complication of other specified internal and external prosthetic devices, implants and grafts, followed by code T38.3x1-, ___ by insulin and oral hypoglycemic [antidiabetic] drugs, accidental (___).
Definition
principal
malfuncion
overdose
Mechanical
Poisoning
unintentional
Term
Secondary diabetes mellitus:
Codes under categories E08, Diabetes mellitus due to ___ ___, E09, Drug or chemical induced diabetes mellitus, and E13, Other specified diabetes mellitus, identify complications/___ associated with ___ diabetes mellitus. Secondary diabetes is ___ caused by another condition or event (e.g., ___ ___, malignant neoplasm of ___, pancreatectomy, adverse effect of ___, or ___).
Definition
underlying condition
manifestations
secondary
always
cystic fibrosis
pancreas
drug
poisoning
Term
Secondary diabetes mellitus and the use of insulin:
For patients who ___ use insulin, code Z79.4, Long-term (___) use of insulin, should also be ___. Code Z79.4 should not be assigned if insulin is given ___ to bring a patient's blood sugar under ___ during an encounter.
Definition
routinely
current
assigned
temporarily
control
Term
The ___ of the secondary diabetes codes in ___ to codes for the ___ of the diabetes is based on the Tabular List ___ for categories E08, E09, and E13.
Definition
sequencing
relationship
cause
instructions
Term
For ____ diabetes mellitus (lack of insulin due to the surgical removal of all or part of the ___), assign code E89.1, Postprocedural ___. Assign a code from category ___ and a code from subcategory Z90.41-, ___ ___ of pancreas, as additional codes.
Definition
postpancreatectomy
pancreas
hypoinsulinemia
E13
Acquired absence
Term
___ diabetes may be caused by an ___ effect of ___ administered medications, ___ or ___ of poisoning.
Definition
Secondary
adverse
correctly
poisoning
sequela
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