ICD-10 Coding for Diabetic Coma(E11.641)
Complete ICD-10-CM coding and documentation guide for Diabetic Coma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Diabetic Coma
E10-E14Primary Range
Diabetes mellitus
This range includes codes for various types of diabetes mellitus, including those with complications such as diabetic coma.
Key Information: ICD-10 code for diabetic coma
Essential facts and insights about Diabetic Coma
Primary ICD-10-CM Code for datacom
Decision Criteria
clinical Criteria
- Confirmed hypoglycemia and coma in a patient with type 2 diabetes.
Applicable To
- Type 2 diabetes with hypoglycemic coma
Excludes
- Type 1 diabetes mellitus with hypoglycemia with coma (E10.641)
Clinical Validation Requirements
- Documented hypoglycemia
- Presence of coma
- Type 2 diabetes diagnosis
Code-Specific Risks
- Misclassification of diabetes type
- Omission of coma documentation
Coding Notes
- Ensure accurate documentation of the diabetes type and the presence of coma.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Type 1 diabetes mellitus with hypoglycemia with coma
E10.641Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Diabetic Coma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.641.
Impact
Clinical: Inaccurate clinical records., Regulatory: Potential audit issues., Financial: Denied claims due to incomplete documentation.
Mitigation Strategy
Thorough clinical assessment, Detailed documentation of coma status
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Verify diabetes type through patient history and lab results.
Impact
Risk of incorrect coding for diabetes complications.
Mitigation Strategy
Regular training on diabetes coding guidelines.
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 Coma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Diabetic Coma
Use these documentation templates to ensure complete and accurate documentation for Diabetic Coma. These templates include all required elements for proper coding and billing.
Diabetic coma in type 2 diabetes
Specialty: EndocrinologyRequired Elements
- Patient history
- Diabetes type
- Hypoglycemia documentation
- Coma status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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