Type 1 diabetes mellitus with ketoacidosis with coma is a severe complication of diabetes characterized by hyperglycemia, metabolic acidosis, and altered consciousness. This condition arises from insulin deficiency, leading to the breakdown of fat for energy and the production of ketones. Accurate coding with ICD-10 Code E10.11 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this critical condition.
What is ICD-10 Code E10.11 for Type 1 diabetes mellitus with ketoacidosis with coma?
ICD-10 Code E10.11 represents Type 1 diabetes mellitus with ketoacidosis with coma, indicating a serious state of metabolic derangement due to insulin deficiency. This code should be used when a patient presents with diabetic ketoacidosis (DKA) accompanied by coma, reflecting the severity of the condition. It is crucial for clinical documentation and billing to ensure appropriate treatment and resource allocation.
ICD-10 Code E10.11 – Clinical Definition and Explanation of Type 1 diabetes mellitus with ketoacidosis with coma
Type 1 diabetes mellitus with ketoacidosis with coma is a life-threatening condition that requires immediate medical intervention. It is caused by a lack of insulin, leading to elevated blood glucose levels and the accumulation of ketones, resulting in metabolic acidosis and altered mental status. Prompt recognition and treatment are critical to prevent severe complications and mortality.
Key Clinical Features:
- Elevated blood glucose levels (hyperglycemia) exceeding 250 mg/dL.
- Presence of ketones in urine or blood.
- Acidosis indicated by arterial blood gas analysis (pH < 7.3).
- Altered consciousness or coma due to severe metabolic derangement.
ICD-10 Code E10.11 for Type 1 diabetes mellitus with ketoacidosis with coma – SOAP Notes & Clinical Use
ICD-10 Code E10.11 is utilized in SOAP notes to document the patient's condition accurately. It plays a vital role in capturing the severity of symptoms, guiding assessment, and informing treatment plans. This code is relevant in both acute care settings, such as emergency departments, and chronic care management.
What Does ICD-10 Code E10.11 for Type 1 diabetes mellitus with ketoacidosis with coma Mean in SOAP Notes?
In SOAP notes, ICD-10 Code E10.11 connects subjective reports of symptoms and objective clinical findings to a formal diagnosis of Type 1 diabetes mellitus with ketoacidosis with coma. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.
Treatment Options for ICD-10 Code E10.11 – Type 1 diabetes mellitus with ketoacidosis with coma
The management of Type 1 diabetes mellitus with ketoacidosis with coma requires urgent medical intervention and hospitalization.
Antibiotic Therapy:
- Not applicable as this condition is not infectious.
Supportive Care:
- Intravenous fluids to rehydrate and restore electrolyte balance.
- Insulin therapy to reduce blood glucose and ketone levels.
- Monitoring of vital signs and blood glucose levels.
Infection Control:
- Standard precautions should be followed to prevent healthcare-associated infections.
How to Document Symptoms of Type 1 diabetes mellitus with ketoacidosis with coma (ICD-10 E10.11) in SOAP Notes
Subjective:
- Patient reports extreme thirst and frequent urination.
- History of recent weight loss and fatigue.
- Altered mental status noted by family members.
Objective:
- Blood glucose level of 450 mg/dL on admission.
- Urine test positive for ketones.
- Arterial blood gas shows pH of 7.2.
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SOAP Note Guidelines for Diagnosing Type 1 diabetes mellitus with ketoacidosis with coma (ICD-10 Code E10.11)
Assessment:
- Diagnosis: Type 1 diabetes mellitus with ketoacidosis with coma (ICD-10 E10.11).
- Severity: Severe metabolic acidosis.
- Triggers: Insulin omission, infection, or stress.
Plan:
- Initiate IV fluids and electrolyte replacement.
- Administer insulin therapy per DKA protocol.
- Monitor blood glucose and ketone levels every hour.
- Consult endocrinology for ongoing management.
Treatment & Plan Section for ICD-10 Code E10.11 – Type 1 diabetes mellitus with ketoacidosis with coma
- Administer IV fluids (normal saline) to correct dehydration.
- Start insulin infusion to lower blood glucose levels.
- Monitor electrolytes, particularly potassium, closely.
- Provide patient education on diabetes management post-recovery.
Using ICD-10 Code E10.11 for Type 1 diabetes mellitus with ketoacidosis with coma in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and clinical findings.
- Use E10.11 in acute care settings for DKA management.
- Align treatment plans with clinical guidelines for justified billing.
- Document any comorbidities or complications for comprehensive coding.
Related ICD-10 Codes Often Used with Type 1 diabetes mellitus with ketoacidosis with coma
ICD-10 Code E10.11 in Medical Billing and Insurance for Type 1 diabetes mellitus with ketoacidosis with coma
ICD-10 Code E10.11 is critical in medical billing, particularly in hospital and emergency department settings.
Billing Notes:
- Document all clinical findings and treatment interventions clearly.
- Use E10.11 for inpatient admissions related to DKA.
- Ensure compliance with payer guidelines for coding and billing.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99223 | Initial hospital care, typically requiring a high level of medical decision-making. |
| 96365 | Intravenous infusion, for therapeutic, prophylactic, or diagnostic purposes. |
| 36415 | Collection of venous blood by venipuncture. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code E10.11 for Type 1 diabetes mellitus with ketoacidosis with coma
What are the common symptoms of ketoacidosis?
Common symptoms of ketoacidosis include excessive thirst, frequent urination, nausea, abdominal pain, and altered mental status. Patients may also exhibit fruity-smelling breath due to ketone production.
How is ketoacidosis diagnosed?
Ketoacidosis is diagnosed through clinical evaluation, blood tests showing elevated glucose levels, ketones in urine or blood, and arterial blood gas analysis indicating acidosis.
What is the treatment for ketoacidosis?
Treatment for ketoacidosis includes intravenous fluids for rehydration, insulin therapy to lower blood glucose levels, and electrolyte management, particularly potassium.
When should ICD-10 Code E10.11 be used?
ICD-10 Code E10.11 should be used when a patient presents with Type 1 diabetes mellitus complicated by ketoacidosis and coma, reflecting the severity of the condition for accurate documentation and billing.
