ICD-10 Coding for Type 1 Diabetes with Hyperglycemia(E10.65)
Complete ICD-10-CM coding and documentation guide for Type 1 Diabetes with Hyperglycemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Type 1 Diabetes with Hyperglycemia
E10-E14Primary Range
Diabetes mellitus
This range includes all types of diabetes mellitus, with E10 specifically for type 1 diabetes.
Key Information: ICD-10 code for type 1 diabetes with hyperglycemia
Essential facts and insights about Type 1 Diabetes with Hyperglycemia
Primary ICD-10-CM Code for type 1 diabetes with hyperglycemia
Decision Criteria
clinical Criteria
- Documented blood glucose levels and symptoms of hyperglycemia.
Applicable To
- Type 1 diabetes with high blood sugar
Excludes
- Type 1 diabetes with ketoacidosis (E10.10)
Clinical Validation Requirements
- Blood glucose >180 mg/dL
- A1C ≥7%
- Symptoms such as polyuria, polydipsia
Code-Specific Risks
- Misclassification if hyperglycemia is not explicitly documented.
Coding Notes
- Ensure hyperglycemia is explicitly documented to avoid coding errors.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Type 1 diabetes mellitus with ketoacidosis
E10.10Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Type 1 Diabetes with Hyperglycemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E10.65.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Fails to meet documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Train staff to document specific diabetes complications.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure hyperglycemia is documented and use E10.65.
Impact
Risk of audits due to unspecified diabetes complications.
Mitigation Strategy
Ensure detailed documentation of all diabetes-related conditions.
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 Type 1 Diabetes with Hyperglycemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Type 1 Diabetes with Hyperglycemia
Use these documentation templates to ensure complete and accurate documentation for Type 1 Diabetes with Hyperglycemia. These templates include all required elements for proper coding and billing.
Endocrinology follow-up for type 1 diabetes with hyperglycemia
Specialty: EndocrinologyRequired Elements
- History of Present Illness
- Lab results (A1C, blood glucose)
- Assessment and Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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