ICD-10 Code E09.11 | Drug/chem diabetes mellitus w ketoacidosis w coma Symptoms, Diagnosis, Billing

Drug/chemical-induced diabetes mellitus with ketoacidosis and coma is a severe complication arising from the use of certain medications or chemicals that disrupt insulin production or action. This condition is clinically significant as it can lead to life-threatening metabolic derangements. The ICD-10 Code E09.11 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat affected patients.

What is ICD-10 Code E09.11 for Drug/chem diabetes mellitus w ketoacidosis w coma?

ICD-10 Code E09.11 represents drug or chemical-induced diabetes mellitus accompanied by ketoacidosis and coma. This condition typically arises from the use of certain medications that impair insulin secretion or action, leading to hyperglycemia and subsequent ketoacidosis. This code should be used in clinical documentation and billing when a patient presents with these specific complications related to drug or chemical exposure.

ICD-10 Code E09.11 – Clinical Definition and Explanation of Drug/chem diabetes mellitus w ketoacidosis w coma

Drug/chemical-induced diabetes mellitus with ketoacidosis and coma is a critical condition that necessitates immediate medical intervention. It is often caused by medications such as glucocorticoids or antipsychotics that can induce insulin resistance or impair insulin secretion. The progression of this condition can lead to severe metabolic acidosis and altered mental status, requiring urgent hospitalization.

Key Clinical Features:

• Rapid onset of hyperglycemia and ketoacidosis.
• Altered mental status or coma due to severe metabolic derangements.
• History of recent medication changes or exposure to drugs known to induce diabetes.
• Signs of dehydration and electrolyte imbalances.

ICD-10 Code E09.11 for Drug/chem diabetes mellitus w ketoacidosis w coma – SOAP Notes & Clinical Use

ICD-10 Code E09.11 is utilized in SOAP notes to document the patient's symptoms, assessment, and treatment plan for drug/chemical-induced diabetes mellitus with ketoacidosis and coma. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and facilitating appropriate management.

What Does ICD-10 Code E09.11 for Drug/chem diabetes mellitus w ketoacidosis w coma Mean in SOAP Notes?

In SOAP notes, ICD-10 Code E09.11 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of drug/chemical-induced diabetes mellitus with ketoacidosis and coma. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code E09.11 – Drug/chem diabetes mellitus w ketoacidosis w coma

The management of drug/chemical-induced diabetes mellitus with ketoacidosis and coma requires urgent medical attention and a multifaceted treatment approach.

Antibiotic Therapy:

• Not applicable as this condition is not infectious.

Supportive Care:

• Fluid resuscitation to correct dehydration.
• Insulin therapy to manage hyperglycemia.
• Electrolyte replacement, particularly potassium.

Infection Control:

• Monitor for potential infections that may complicate the patient's condition.

How to Document Symptoms of Drug/chem diabetes mellitus w ketoacidosis w coma (ICD-10 E09.11) in SOAP Notes

Subjective:

• Patient reports increased thirst and frequent urination.
• History of recent medication changes or use of drugs known to induce diabetes.
• Complaints of confusion and lethargy.
• Family notes altered mental status.

Objective:

• Blood glucose level significantly elevated (>250 mg/dL).
• Ketonuria present on urinalysis.
• Vital signs: tachycardia, hypotension.
• Altered mental status observed during examination.

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SOAP Note Guidelines for Diagnosing Drug/chem diabetes mellitus w ketoacidosis w coma (ICD-10 Code E09.11)

Assessment:

• Diagnosis: Drug/chemical-induced diabetes mellitus with ketoacidosis and coma, severe.
• ICD-10 Code: E09.11.
• Contributing factors: Recent use of glucocorticoids.
• Severity: Critical due to altered mental status.

Plan:

• Initiate intravenous insulin therapy to control hyperglycemia.
• Administer IV fluids for rehydration.
• Monitor electrolytes closely, especially potassium levels.
• Consult endocrinology for further management.

Treatment & Plan Section for ICD-10 Code E09.11 – Drug/chem diabetes mellitus w ketoacidosis w coma

• Administer insulin therapy to manage hyperglycemia.
• Provide fluid resuscitation to correct dehydration.
• Monitor vital signs and laboratory values regularly.
• Educate the patient on medication management and potential side effects.

Using ICD-10 Code E09.11 for Drug/chem diabetes mellitus w ketoacidosis w coma in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
• Use the code E09.11 when the patient presents with ketoacidosis due to drug or chemical exposure.
• Align treatment plans with clinical guidelines to support justified billing.
• Include relevant CPT codes that correspond to the services provided.

Related ICD-10 Codes Often Used with Drug/chem diabetes mellitus w ketoacidosis w coma

• E08.10 – Diabetes mellitus due to underlying condition
• E09.10 – Drug/chemical diabetes mellitus without ketoacidosis

ICD-10 Code E09.11 in Medical Billing and Insurance for Drug/chem diabetes mellitus w ketoacidosis w coma

ICD-10 Code E09.11 is crucial in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and medication use to support the diagnosis.
• Use E09.11 in conjunction with acute care services for accurate billing.
• Ensure that all chart elements reflect the severity and complexity of the condition.
• Review coding guidelines to confirm compliance with payer requirements.

Common CPT Pairings: