ICD-10 Coding for Hyperosmolar Hyperglycemic State(E11.01, E11.00)
Complete ICD-10-CM coding and documentation guide for Hyperosmolar Hyperglycemic State. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hyperosmolar Hyperglycemic State
E11.00-E11.01Primary Range
Type 2 diabetes mellitus with hyperosmolarity
This range covers hyperosmolar hyperglycemic states associated with type 2 diabetes, with or without coma.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E11.01 | Type 2 diabetes mellitus with hyperosmolarity with coma | Use when hyperosmolarity is present with coma in a patient with type 2 diabetes. |
|
| E11.00 | Type 2 diabetes mellitus with hyperosmolarity without coma | Use when hyperosmolarity is present without coma in a patient with type 2 diabetes. |
|
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 hyperosmolar hyperglycemic state with coma
Essential facts and insights about Hyperosmolar Hyperglycemic State
Primary ICD-10-CM Codes for hyperosmolar hyperglycemic state
Decision Criteria
clinical Criteria
- Presence of coma and hyperosmolarity in type 2 diabetes
Applicable To
- Hyperosmolar hyperglycemic state with coma
Excludes
- Diabetic ketoacidosis (E13.10)
Clinical Validation Requirements
- Glucose ≥600 mg/dL
- Serum osmolality ≥320 mOsm/kg
- Presence of coma
Code-Specific Risks
- Ensure coma is documented to avoid incorrect coding.
Coding Notes
- Ensure documentation specifies coma and hyperosmolarity.
E11.00 - Type 2 diabetes mellitus with hyperosmolarity without coma
Use when hyperosmolarity is present without coma in a patient with type 2 diabetes.
Applicable To
- Hyperosmolar hyperglycemic state without coma
Excludes
- Diabetic ketoacidosis (E13.10)
Clinical Validation Requirements
- Glucose ≥600 mg/dL
- Serum osmolality ≥320 mOsm/kg
- Absence of coma
Coding Notes
Ensure documentation specifies hyperosmolarity and absence of coma.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Dehydration
E86.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Other specified diabetes mellitus with ketoacidosis
E13.10Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hyperosmolar Hyperglycemic State to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.01.
Impact
Clinical: Misrepresentation of patient condition., Regulatory: Non-compliance with coding standards., Financial: Potential reimbursement issues.
Mitigation Strategy
Ensure coma status is assessed and documented.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use E11.00 for hyperosmolarity without coma.
Impact
Failure to document coma status can lead to incorrect coding.
Mitigation Strategy
Implement checklist for coma assessment in HHS cases.
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 Hyperosmolar Hyperglycemic State, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hyperosmolar Hyperglycemic State
Use these documentation templates to ensure complete and accurate documentation for Hyperosmolar Hyperglycemic State. These templates include all required elements for proper coding and billing.
Emergency Department Admission for HHS
Specialty: Emergency MedicineRequired Elements
- Glucose levels
- Serum osmolality
- Mental status
- Ketone levels
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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