2025 ICD-10-CM code E10.10
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Endocrine, Nutritional, and Metabolic Diseases - Type 1 diabetes mellitus Endocrine, nutritional and metabolic diseases Feed
Type 1 diabetes mellitus with ketoacidosis without coma.
Medical necessity is established by the presence of hyperglycemia, ketonemia, and metabolic acidosis in a patient with type 1 diabetes.Treatment is crucial to prevent progression to diabetic ketoacidotic coma, which can be life-threatening.
Diagnosis is based on history, physical exam, signs, and symptoms. Diagnostic tests include glucose tolerance tests, plasma glucose levels, HbA1c levels, CBC, urine for glucose and ketones, and anti-insulin antibodies. Treatment involves intravenous fluids and salt replacement for dehydration and immediate insulin dose. Long-term treatment includes lifelong insulin therapy, diet management, and blood glucose monitoring.
In simple words: This code is for people with type 1 diabetes who have a serious complication called ketoacidosis.Ketoacidosis happens when there isn't enough insulin to use sugar for energy, so the body uses fat instead, producing ketones that make the blood too acidic. This code is only used if the person is still awake and not in a coma.
This code classifies type 1 diabetes mellitus (DM) with ketoacidosis, a serious complication where the body produces excessive ketones due to insufficient insulin.It's characterized by hyperglycemia, and the absence of coma (unconsciousness). The condition results from the body's inability to utilize glucose effectively, leading to a buildup of ketones and a state of metabolic acidosis. This code is specifically for cases where the patient remains conscious.
Example 1: A 10-year-old presents with hyperglycemia, fruity breath, nausea, vomiting, and dehydration. Blood glucose is significantly elevated, and urine shows the presence of ketones. The patient is alert and oriented.Diagnosis: E10.10., A 25-year-old with known type 1 diabetes experiences worsening hyperglycemia despite increased insulin doses. They present with polyuria, polydipsia, and fatigue. Ketoacidosis is confirmed through blood and urine tests. The patient is conscious and able to communicate. Diagnosis: E10.10., A 40-year-old with newly diagnosed type 1 diabetes is admitted to the hospital due to severe hyperglycemia and ketoacidosis.The patient is alert and responsive. Rapid fluid resuscitation is administered alongside immediate insulin administration.Diagnosis: E10.10.
Detailed history including onset of symptoms, duration, severity, and any precipitating factors.Physical examination noting signs of dehydration, respiratory status, and neurological status. Laboratory data including blood glucose levels, serum ketones, electrolytes, and complete blood count (CBC).
** This code should not be used if the patient is in a coma (diabetic ketoacidotic coma).In such cases, E10.11 (Type 1 diabetes mellitus with ketoacidosis, uncontrolled) would be more appropriate.
- Payment Status: Active
- Specialties:Endocrinology, Diabetology, Internal Medicine, Pediatrics
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Emergency Room - Hospital