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

Excludes:

• Starvation ketosis - if at all, code as Acidosis, NOS

• This entity is sometimes called "Non-ketotic hyperosmolar coma"
• also known as "HONK" or "HHS"
• 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

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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