ICD 9 Code for Diabetes

Diabetes mellitus a chronic disease often referred to simply as diabetes is a syndrome of disordered metabolism resulting in abnormally high blood sugar levels due to defects in either insulin secretion or insulin action in the body.

Diabetes develops due to a diminished production of insulin (in type 1) or resistance to its effects (in type 2 and gestational). Both lead to hyperglycemia, which largely causes the acute signs of diabetes: excessive urine production, resulting compensatory thirst and increased fluid intake, blurred vision, unexplained weight loss, lethargy, and changes in energy metabolism.

Diabetes and its treatments can cause many complications. Acute complications (hypoglycemia, ketoacidosis, or nonketotic hyperosmolar coma) may occur if the disease is not adequately controlled. Serious long-term complications include cardiovascular disease (doubled risk), chronic renal failure, retinal damage (which can lead to blindness), nerve damage (of several kinds), and microvascular damage, which may cause erectile dysfunction and poor wound healing. Poor healing of wounds, particularly of the feet, can lead to gangrene, and possibly to amputation.

The term diabetes, without qualification, usually refers to diabetes mellitus, which is associated with excessive sweet urine (known as "glycosuria").

There are two types of Diabetes mellitus type 1 and type 2.

The term "type 1 diabetes" has universally replaced several former terms, including childhood-onset diabetes, juvenile diabetes, and insulin-dependent diabetes (IDDM). Likewise, the term "type 2 diabetes" has replaced several former terms, including adult-onset diabetes, obesity-related diabetes, and non-insulin-dependent diabetes (NIDDM).

In type 1 diabetes without insulin, diabetic ketoacidosis often develops which may result in coma or death.

Gestational diabetes mellitus (GDM) resembles type 2 diabetes in several respects. It occurs in about 2%–5% of all pregnancies and may improve or disappear after delivery.

ICD-9-CM Codes

Category 250 Diabetes mellitus

Fifth digit classifications for category 250

250.00 type II or unspecified type, not stated as uncontrolled
Fifth-digit 0 is for use for type II patients, even if the patient requires insulin

250.01 type I [juvenile type], not stated as uncontrolled

250.02 type II or unspecified type, uncontrolled
Fifth-digit 2 is for use for type II patients, even if the patient requires insulin

250.03 type I [juvenile type], uncontrolled

Complications of diabetes and subcategories of category 250

250.0 Diabetes mellitus without mention of complication
250.1 Diabetes with ketoacidosis
250.2 Diabetes with hyperosmolarity
250.4 Diabetes with renal manifestations
250.5 Diabetes with ophthalmic manifestations
250.6 Diabetes with neurological manifestations
250.7 Diabetes with peripheral circulatory disorders
250.8 Diabetes with other specified manifestations
250.9 Diabetes with unspecified complication

In case of type II diabetes if the patient is on insulin than V58.67 is used for associated long-term (current) insulin use (V58.67)

Coding scenarios

Hyperglycemia + Diabetes = 250.00 as hyperglycemia is symptom of diabetes

Hypoglycemia + Diabetes = 250.80

Diabetic foot = 250.80 + foot condition

CPT procedures associated with diabetes

82962 - Fasting blood suger

ICD 9 Code for Diabetes, ICD 9 Code for Diabetes, ICD 9 Code for Diabetes

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