AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 1; Ask the Editor
Type 2 Diabetic Hyperosmolar Ketotic State without Acidosis
A patient is diagnosed with hyperglycemic hyperosmolar ketotic state without acidosis, and new onset type 2 diabetes. Coding Clinic, Third Quarter 2013, page 20, states “Any combination of the diabetes codes can be assigned together, unless one diabetic condition is inherent in another.” Is code E11.65, Type 2 diabetes mellitus with hyperglycemia assigned as an additional diagnosis? What is the correct code assignment for this patient? ...
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Article Overview
This article explains a diabetes coding scenario involving a hyperosmolar ketotic state without acidosis and newly diagnosed type 2 diabetes. It reviews Coding Clinic guidance on whether multiple diabetes codes may be assigned together and focuses on the resulting coding question for clinicians, coders, and audit staff working with diabetes-related diagnoses.
Why This Topic Matters
Accurate diabetes diagnosis coding affects claim integrity, clinical documentation capture, and review consistency when multiple related diabetic conditions are present. This article helps readers understand how published coding guidance may affect code selection in a complex hyperglycemic presentation.
What You Will Learn
- How a hyperosmolar ketotic diabetic presentation is discussed in coding guidance
- How Coding Clinic guidance is referenced in relation to multiple diabetes diagnoses
- What type of coding question the article addresses for a new-onset type 2 diabetes case
- How this scenario is framed for diagnosis coding review and assignment
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation integrity specialists
- Billing staff
- Health information management professionals
Codes Discussed
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