2025 ICD-10-CM code E10.63
(Active) Effective Date: N/A Endocrine, nutritional and metabolic diseases - Diabetes mellitus with complications 4 Feed
Type 1 diabetes mellitus with oral complications.
The medical necessity for treating the oral complications of type 1 diabetes arises from the need to prevent disease progression, alleviate pain and discomfort, maintain oral function, and improve the patient's quality of life. Untreated oral complications can lead to further systemic health issues. Appropriate documentation linking the oral complications to the underlying diabetes is crucial for justifying the medical necessity of any treatment provided.
In simple words: This code indicates that a person has type 1 diabetes, a condition where their body doesn't make enough insulin, along with problems in their mouth. These mouth problems can include gum disease, infections, dry mouth, changes in how food tastes, and slower healing of mouth sores.
This code signifies type 1 diabetes mellitus with associated oral complications. These complications may include periodontal disease (affecting gums and supporting structures of teeth), increased risk of infections (bacterial and fungal), dry mouth (xerostomia), altered taste, and delayed wound healing in the mouth. Type 1 diabetes is a chronic autoimmune condition where the pancreas produces little or no insulin, leading to elevated blood glucose levels, which further contribute to the development and severity of oral complications.
Example 1: A 15-year-old patient with a history of type 1 diabetes presents with swollen, bleeding gums, consistent with periodontitis, an oral complication of their diabetes., A 25-year-old with type 1 diabetes experiences persistent dry mouth and an increase in cavities, both attributed to the effects of the disease on oral health., A child diagnosed with type 1 diabetes develops oral thrush, a fungal infection, due to the high glucose levels in their saliva and reduced immune response.
Documentation should include a confirmed diagnosis of type 1 diabetes, along with specific details of the oral complications observed. This might involve clinical findings like periodontal pocket depths, evidence of infections, description of dry mouth symptoms, reports of taste alterations, or observations related to wound healing in the mouth. Lab results, such as HbA1c levels, can help assess diabetes control and correlate it with the severity of oral complications.
- Specialties:Endocrinology, Dentistry, Periodontics, Oral Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital