ICD Code E10.10

ICD code E10.10 is type 1 diabetes mellitus with ketoacidosis without coma.

1. Confirmed diagnosis of type 1 diabetes mellitus

2. Presence of diabetic ketoacidosis (DKA), indicated by hyperglycemia, ketonemia or ketonuria, and metabolic acidosis

3. Absence of coma (patient is alert or has altered mental status without progressing to coma)

4. Clinical symptoms may include polyuria, polydipsia, weight loss, nausea, vomiting, abdominal pain, dehydration, rapid breathing (Kussmaul respirations), and fruity-scented breath

5. Laboratory findings supporting DKA, such as elevated blood glucose, low serum bicarbonate, low arterial pH, and positive serum or urine ketones

Relevant CPT codes that may be used to treat ICD code E10.10 include:

- 99221–99223 (Initial hospital care, per day, for the evaluation and management of a patient)

- 99231–99233 (Subsequent hospital care, per day, for the evaluation and management of a patient)

- 99238–99239 (Hospital discharge day management)

- 82948 (Glucose; blood, reagent strip)

- 82962 (Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use)

- 36415 (Collection of venous blood by venipuncture)

- 96365–96368 (Intravenous infusion, for therapy, prophylaxis, or diagnosis)

- 96372 (Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular)

- 96374 (Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance/drug)

- 80048 (Basic metabolic panel)

- 80053 (Comprehensive metabolic panel)

- 81000–81003 (Urinalysis)

- 83036 (Hemoglobin A1c)

- 99291–99292 (Critical care, evaluation and management of the critically ill or critically injured patient)

CPT code selection should be based on the specific services rendered and clinical documentation.

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