ICD or The International Classification of Diseases is a diagnostic tool maintained by the World Health Organization and used by physicians and other healthcare providers across the world to classify and code all diagnoses, symptoms, and procedures recorded.
The International Classification of Diseases (ICD) was started in the 19th century and has been the forerunner for comparing statistics and causes of mortality and morbidity between different places times. Since then, the codes have been in a continual state of improvement, resulting in a total of 11 versions released till date.
The latest version ‘ ICD-11’ was adopted in 2019 at the 72nd World Health Assembly and came into effect from 1st January 2022.
Government health ministries and public health bodies use ICD Codes to assess and understand the current state of health for service planning, strategic health and safety policy decisions.
Physicians, healthcare providers, hospitals, and medical institutions around the world use ICD Codes to classify diseases, illnesses, injuries, procedures, develop standardized guidelines and in health services research.
Insurance companies use ICD Codes and its information in payment systems, to process claims and reimbursements.
The ICD-11 is the Eleventh Revision of the ICD Codes adopted in 2019 at the 72nd World Health Assembly and came into effect from 1st January 2022. Similar to the other Ten predecessors that came before it, ICD-11 is also maintained by the WHO and employs unique alphanumeric numbers to designate recognized diseases and other health concerns.
ICD–11 allows countries to count and identify their most pressing health issues by using an up-to-date and clinically relevant classification system.ICD–11 is a vast improvement on previous revisions, and reflects critical advances in science and medicine. Used by doctors, coders, health information managers, nurses, and other healthcare workers, ICD-11 is more granular aligning classification with the latest knowledge of disease treatment and prevention, thus making it more meaningful than ICD–10.
Diabetes Mellitus is a metabolic disorder with heterogeneous etiologies, characterised by chronic hyperglycemia and disturbances of carbohydrate, fat and protein metabolism resulting from defects in insulin secretion, insulin action, or both.
Definition : Diabetes mellitus type 1 (type 1 diabetes, T1DM, formerly insulin dependent or juvenile diabetes) is a form of diabetes mellitus that results from destruction of insulin-producing beta cells, mostly by autoimmune mechanisms. The subsequent lack of insulin leads to increased blood and urine glucose.
Definition : Formerly called Non-Insulin Dependent Diabetes Mellitus (NIDDM) or adult-onset diabetes is a metabolic disorder that is characterised by high blood glucose in the context of insulin resistance and relative insulin deficiency.
Definition : Diabetes mellitus which cannot be classified as either Type 1 or Type 2 diabetes mellitus.
- 5A13.0 Diabetes mellitus due to genetic defects of beta cell function
- 5A13.1 Diabetes mellitus due to genetic defects in insulin action
- 5A13.2 Diabetes mellitus due to diseases of the exocrine pancreas
- 5A13.3 Diabetes mellitus due to endocrinopathies
- 5A13.4 Diabetes mellitus due to drug or chemical
- 5A13.5 Diabetes mellitus due to uncommon forms of immune-mediated diabetes
- 5A13.6 Diabetes mellitus due to other genetic syndromes
- 5A13.7 Diabetes mellitus due to clinically defined subtypes or syndromes
- 5A13.Y Diabetes mellitus due to other specified cause
- 5A14 Diabetes mellitus type unspecified
E11.0 Type 2 diabetes mellitus with hyperosmolarity
E11.00 Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E11.01 Type 2 diabetes mellitus with hyperosmolarity with coma
E11.21 Type 2 diabetes mellitus with diabetic nephropathy
E11.22 Type 2 diabetes mellitus with diabetic chronic kidney disease
E11.29 Type 2 diabetes mellitus with other diabetic kidney complication
E11.31 Type 2 diabetes mellitus with unspecified diabetic retinopathy
E11.32 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy
E11.33 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy
E11.34 Type 2 diabetes mellitus with severe non-proliferative diabetic retinopathy
E11.35 Type 2 diabetes mellitus with proliferative diabetic retinopathy
E11.36 Type 2 diabetes mellitus with diabetic cataract
E11.39 Type 2 diabetes mellitus with other diabetic ophthalmic complication
E11.40 Type 2 diabetes mellitus with diabetic neuropathy, unspecified
E11.41 Type 2 diabetes mellitus with diabetic mononeuropathy
E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy
E11.43 Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy
E11.44 Type 2 diabetes mellitus with diabetic amyotrophy
E11.49 Type 2 diabetes mellitus with other diabetic neurological complication
E11.51 Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E11.52 Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E11.59 Type 2 diabetes mellitus with other circulatory complications
E11.61 Type 2 diabetes mellitus with diabetic arthropathy
E11.62 Type 2 diabetes mellitus with skin complications
E11.63 Type 2 diabetes mellitus with oral complications
E11.64 Type 2 diabetes mellitus with hypoglycemia
E11.65 Type 2 diabetes mellitus with hyperglycemia
E11.69 Type 2 diabetes mellitus with other specified complication
ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) is a classification and coding system used by U.S. healthcare providers. It is based on the World Health Organization's International Classification of Illnesses. ICD data are utilized in the generation of national mortality and morbidity statistics. Diabetes-related pregnancy codes in the E08 to E13 range should be used after a code from the 024 categories for diabetic pregnant person. Type 2 diabetes codes should also be used if the person's medical record does not specify the type of diabetes. When there is insufficient information to make a more precise diagnosis, the "unspecified" codes might be used.
The ICD-11 Code for Type 2 Diabetes Mellitus is 5A11
The ICD-10 code for long term use of oral hypoglycemic drugs is Z79. 84
E11. 22, Type 2 diabetes mellitus with diabetic CKD.
I12. 9, hypertensive CKD with stage 1 through 4 CKD, or unspecified CKD
The ICD code for Type 2 Diabetes Mellitus with Long-term (current) use of Insulin should be Z79.4 (Category E11 Codes)
For Type 1 diabetes mellitus there is no need to record a Z code for long-term insulin usage since the diagnosis itself implies the need for lifelong insulin.
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