2025 ICD-10-CM code E10
(Active) Effective Date: N/A Endocrine, nutritional and metabolic diseases - Diabetes mellitus 4 Feed
Type 1 diabetes mellitus. This is a chronic condition where the pancreas produces little or no insulin.
Medical necessity for the management of type 1 diabetes is established by the chronic nature of the disease and the need for ongoing treatment to prevent serious complications such as retinopathy, neuropathy, nephropathy, and cardiovascular disease.
Diagnosis of type 1 diabetes involves evaluating patient history, physical examination, and symptoms. Diagnostic tests include glucose tolerance tests, plasma glucose levels, HbA1c levels, CBC, urine tests for glucose and ketones, and anti-insulin antibodies. Treatment focuses on lifelong insulin therapy, dietary management, and regular blood glucose monitoring.
In simple words: Type 1 diabetes is a long-lasting disease where the body doesn't make enough insulin, which is needed to use sugar for energy. This causes sugar to build up in the blood.
Type 1 diabetes mellitus (DM) is a chronic autoimmune disease caused by the destruction of pancreatic beta cells, preventing the pancreas from producing enough insulin. Insulin is crucial for enabling the body to use glucose for energy.This condition often begins in childhood but can affect adults. Includes: brittle diabetes (mellitus), diabetes (mellitus) due to autoimmune process, diabetes (mellitus) due to immune-mediated pancreatic islet beta-cell destruction, idiopathic diabetes (mellitus), juvenile onset diabetes (mellitus), ketosis-prone diabetes (mellitus). Excludes1: diabetes mellitus due to underlying condition (E08.-), drug or chemical induced diabetes mellitus (E09.-), gestational diabetes (O24.4-), hyperglycemia NOS (R73.9), neonatal diabetes mellitus (P70.2), postpancreatectomy diabetes mellitus (E13.-), postprocedural diabetes mellitus (E13.-), secondary diabetes mellitus NEC (E13.-), type 2 diabetes mellitus (E11.-)
Example 1: A 10-year-old child presents with excessive thirst, frequent urination, increased hunger, and unintentional weight loss. Blood tests reveal elevated glucose levels and the presence of anti-insulin antibodies, confirming a diagnosis of type 1 diabetes., A young adult is admitted to the hospital with diabetic ketoacidosis (DKA). Following stabilization, further testing reveals pancreatic beta-cell destruction, leading to a diagnosis of type 1 diabetes., A 30-year-old individual experiences blurred vision, fatigue, and frequent infections. Blood work shows high glucose levels and low insulin production. The patient is diagnosed with type 1 diabetes and started on insulin therapy.
Documentation should include signs and symptoms, family history, results of glucose tolerance tests, plasma glucose levels, HbA1c levels, CBC, urine tests for glucose and ketones, and anti-insulin antibody tests. Details of insulin therapy, dietary management, and blood glucose monitoring should also be documented.
- Specialties:Endocrinology, Internal Medicine, Pediatrics, Family Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home