Question

HOW TO CODE AND SEQUENCE THE FOLLOWING:

1.ASSESSMENT: DKA, TYPE 1DM

Tip: ASSIGN A SECOND CODE FOR UNDERDOSING OF INSULIN FROM THE TABLE OF DRUGS AND CHEMICALS.

2. ASSESSMENT: TEST RESULTS SHOW ABNORMALLY LOW VITAMIN D LEVEL. PATIENT IS OBESE DUE TO EXCESS CALORIES AND HAS A (BMI) OF 30.5 KG/M2

TIP: Z CODE FOR ANNUAL CHECKUP IS NEEDED.

Answer 1

ICD-10 codes contain seven characters in which the left most three characters before decimal point represents the major disease and the next four characters (another decimal point may appear) represent other details like severity, anatomy and extended details.

1. In the given question, the first assessment is given as ketoacidosis, diabetes mellitus type 1. The code for this is E10.xxx is for diabetes mellitus type 1 and in the place of xxx 10 is included to represent diabetic ketoacidosis without coma, so the final derived code is E10.10 and it is also mentioned that the patient is underdosed with insulin so that code for that is T38.3X6, which represents failure of insulin pump which caused low amount of insulin.

1. The answer is E10.10 , T38.3X6

2. The second assessment has two main cases such as vitamin D deficiency and obese with BMI at the range of 30.5. These codes for these come under comorbid disease conditions. The code for vitamin D deficiency is E55.9 and when the patient is considered obese due to excess calories then the code is E66.0. The code for BMI range from 30.0 to 30.9 kg/m³

is Z68.30, where Z represents screening services.

2. The answer is E55.9 , E66.0 , Z68.30