Diabetes mellitus acute complication: Non-ketotic hyperosmolar state

ICD10 Diagnosis
Dx:	Diabetes mellitus acute complication: Non-ketotic hyperosmolar state
ICD10 code:	U14.68
Pre-ICD10 counterpart:	none assigned
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:	2018-10-30
Stop Date:
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

• SMW
  • 2018-10-30
  • 2999-12-31
  • U14.68

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This is not a standard ICD10 code but a ICD10 Custom code. We added it for the following reason: In ICD10 proper, this code would be grouped together with Diabetes mellitus chronic complication NOS which is less specific than we want, or with Diabetic coma which would miss cases that are not severe enough to cause coma, so we added this code. See Non-standard ICD10 Diagnoses for other codes like this.

Additional Info

• This entity is sometimes called "Non-ketotic hyperosmolar coma"
• However, you can have this state WITHOUT coma
• If you have it WITH coma, then code this AND ALSO Diabetic coma

Diabetic hyperosmolar conditions

• We have the following codes that can be used to code various diabetic hyperosmolar conditions:
  • Diabetes mellitus acute complication: Non-ketotic hyperosmolar state
  • Diabetes mellitus, in poor control
  • Hyperglycemia -- this is an abnormal test result code, not a disorder. Typically for persistent hyperglycemia in a diabetic you'd use Diabetes mellitus, in poor control instead
  • Diabetic coma -- this code covers any type of coma due to diabetes: hypoglycemic coma, hyperglycemic coma, or coma in Diabetes mellitus acute complication: Non-ketotic hyperosmolar state
• They can be used in combination as appropriate -- e.g. to distinguish the cause of hyperosmotic diabetic coma, you can combine Diabetic coma with:
  • Diabetes mellitus acute complication: Non-ketotic hyperosmolar state -- for non-ketotic hyperosmolar coma
  • Diabetes mellitus, in poor control -- for hyperglycemic/hyperosmotic coma NOT due to non-ketotic hyperosmolar state

Template:Discussion This likely does not belong here but because I am uncertain where to post it, I am posting it here, please move if you find a more suitable place. How do we code Starvation ketosis in ICD-10? Lisa Kaita 13:01, 2018 December 17 (CST)

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

none found

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ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results