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.

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  • 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

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) AG REPLY --- Starvation ketosis is not much a true problem, even in diabetics. And it occurs in non-diabetics who don't eat for a prolonged period, as short as a few days. Thus, it's just another form of metabolic acidosis and you could code it with Acidosis, NOS

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Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

Related CCI Codes

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