ICD 10 CM E10.10 | Description & Clinical Information

ICD 10 E10.10 describes a medical condition known as Type 1 diabetes mellitus (DM) with ketoacidosis, which is the most common manifestation of uncontrolled DM type 1, a chronic autoimmune disease that occurs due to the destruction of pancreatic beta cells, leading to impaired glucose metabolism and elevated levels of blood glucose, resulting in a condition where the patient does not have enough insulin to combine with glucose, causing fatty acids to break down instead for fuel, which leads to an elevation of ketone bodies in the blood and ultimately results in an acid state of the blood, and this code is used when the patient has DM type 1 with ketoacidosis but does not experience unconsciousness (coma).

Official Description Of E10.10

The ICD 10 CM book defines ICD 10 code E10.10 as:

Type 1 diabetes mellitus with ketoacidosis without coma
Parent Code Notes: E10

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.-)

When To Use E10.10

The diagnosis describes by ICD 10 CM E10.10 code is for patients suffering from type 1 diabetes (DM) with ketoacidosis. This condition results from the insufficient production of insulin in the pancreas. When glucose levels in the blood rise, the body switches to fat as a source of energy, which leads to the buildup of ketones, acidic molecules that can be toxic in high levels.

Patients with diabetic ketoacidosis may experience a range of symptoms, including vomiting, dehydration, fruity breath, rapid breathing, confusion, flushes, dry skin, pain in the stomach, dizziness, fatigue, nausea, blurred vision, polyuria, polydipsia, polyphagia, and unintentional weight loss. These symptoms arise due to high glucose and ketone levels in the bloodstream.

Physicians diagnose the condition based on the patient’s history, physical examination, and the signs and symptoms. Diagnostic tests include glucose tolerance tests, plasma glucose levels, HbA1c levels, CBC, urine for glucose and ketones, and antiinsulin antibodies. The correct diagnosis and prompt treatment are crucial as diabetic ketoacidosis can lead to serious complications, such as coma or even death if left untreated.

Immediate treatment usually involves intravenous fluids and salt replacement for dehydration and an immediate insulin dose to bring down glucose levels. Hospitalization is often necessary to monitor and manage the patient’s condition. Long-term management includes lifelong insulin therapy, diet management, and blood glucose monitoring to prevent further episodes of ketoacidosis.

It’s essential to keep in mind that avoiding diabetic ketoacidosis is possible with appropriate management of diabetes. By maintaining healthy lifestyle habits, such as a balanced diet, regular exercise, and regular check-ups with an endocrinologist, you can reduce the likelihood of diabetic ketoacidosis and other diabetes-related complications significantly.

In conclusion, the ICD 10 CM E10.10 diagnosis code describes a severe complication of type 1 diabetes that requires prompt treatment and long-term management to avoid complications. Patients must recognize the signs and symptoms of ketoacidosis and seek medical attention immediately to prevent serious health problems. By working with healthcare providers to maintain a healthy lifestyle and manage diabetes appropriately, individuals can reduce the risk of developing diabetic ketoacidosis and lead a healthy, fulfilling life.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *