ICD-10 Coding for Dyslipidemia Associated with Type 2 Diabetes Mellitus(E11.69, E78.2)
Complete ICD-10-CM coding and documentation guide for Dyslipidemia Associated with Type 2 Diabetes Mellitus. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dyslipidemia Associated with Type 2 Diabetes Mellitus
E11.6-E11.69Primary Range
Type 2 diabetes mellitus with specified complications
This range includes codes for type 2 diabetes with complications, such as dyslipidemia.
Disorders of lipoprotein metabolism and other lipidemias
This range includes codes for various types of hyperlipidemia, which can be associated with diabetes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E11.69 | Type 2 diabetes mellitus with other specified complications | Use when dyslipidemia is documented as a complication of diabetes. |
|
| E78.2 | Mixed hyperlipidemia | Use as an additional code when mixed hyperlipidemia is present. |
|
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 dyslipidemia in diabetes
Essential facts and insights about Dyslipidemia Associated with Type 2 Diabetes Mellitus
Primary ICD-10-CM Codes for dyslipidemia associated with type 2 diabetes mellitus
Decision Criteria
documentation Criteria
- Presence of terms like 'due to' or 'associated with' linking dyslipidemia to diabetes.
Applicable To
- Dyslipidemia linked to diabetes
Excludes
- Type 2 diabetes without complications (E11.9)
Clinical Validation Requirements
- Explicit documentation linking dyslipidemia to diabetes
- Lipid panel showing abnormalities
Code-Specific Risks
- Incorrect use without documented linkage
Coding Notes
- Ensure explicit linkage between diabetes and dyslipidemia in documentation.
E78.2 - Mixed hyperlipidemia
Use as an additional code when mixed hyperlipidemia is present.
Applicable To
- Mixed hyperlipidemia
Excludes
- Hyperlipidemia, unspecified (E78.5)
Clinical Validation Requirements
- Lipid panel showing mixed dyslipidemia
Coding Notes
Document specific lipid abnormalities to justify use.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Dyslipidemia Associated with Type 2 Diabetes Mellitus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.69.
Impact
Clinical: Inaccurate representation of patient condition., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Educate providers on documentation requirements., Implement checklist for documentation review.
Impact
Reimbursement: Potential for denied claims due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation explicitly states the relationship between diabetes and dyslipidemia.
Impact
Risk of audits due to insufficient documentation linking conditions.
Mitigation Strategy
Regular training and audits of documentation practices.
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 Dyslipidemia Associated with Type 2 Diabetes Mellitus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dyslipidemia Associated with Type 2 Diabetes Mellitus
Use these documentation templates to ensure complete and accurate documentation for Dyslipidemia Associated with Type 2 Diabetes Mellitus. These templates include all required elements for proper coding and billing.
Endocrinology Clinic Visit
Specialty: EndocrinologyRequired Elements
- Patient history
- Current medications
- Lipid panel results
- Diabetes management plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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