ICD Code E11.29

ICD code E11.29 is used to classify and document a diagnosis of Type 2 diabetes mellitus when it is accompanied by other diabetic kidney complications. This code helps healthcare providers specify that the patient not only has Type 2 diabetes but also experiences additional kidney-related issues as a result of the diabetes. This level of detail is crucial for accurate medical records, treatment planning, and billing processes.

1. Diagnosis of Type 2 Diabetes Mellitus: Confirm the patient has been diagnosed with Type 2 diabetes mellitus, characterized by insulin resistance and often associated with obesity and a sedentary lifestyle.

2. Presence of Diabetic Kidney Complications: Identify any kidney-related complications that are directly attributable to the patient's diabetes. This may include conditions such as diabetic nephropathy or other renal impairments linked to diabetes.

3. Laboratory Findings: Review laboratory results that indicate kidney dysfunction, such as elevated creatinine levels, abnormal glomerular filtration rate (GFR), or the presence of albuminuria (protein in the urine).

4. Clinical Symptoms: Document any clinical symptoms that suggest kidney complications, such as swelling in the extremities, fatigue, changes in urination patterns, or high blood pressure.

5. Exclusion of Other Causes: Rule out other potential causes of kidney complications that are not related to diabetes, ensuring that the kidney issues are indeed a complication of the patient's diabetic condition.

6. Ongoing Monitoring and Management: Ensure that the patient is under regular monitoring for their diabetic condition and associated kidney complications, with appropriate management strategies in place to address both diabetes and renal health.

By following these criteria, healthcare providers can accurately determine when to use the specific ICD code for Type 2 diabetes mellitus with other diabetic kidney complications.

For the ICD code E11.29, which involves Type 2 diabetes mellitus with other diabetic kidney complications, the relevant CPT codes that may be applicable include:

1. CPT 99201-99215: Evaluation and Management (E/M) services for office or other outpatient visits. These codes are used for patient consultations and follow-up visits related to the management of diabetes and its complications.

2. CPT 82947: Glucose; quantitative, blood (except reagent strip). This code is used for blood glucose testing, which is essential in managing diabetes.

3. CPT 83036: Hemoglobin; glycosylated (A1c). This test measures the average blood sugar levels over the past 2 to 3 months and is crucial for monitoring diabetes control.

4. CPT 81000-81003: Urinalysis, by dipstick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy (81000), non-automated, without microscopy (81002), automated, with microscopy (81001), automated, without microscopy (81003). These codes are used for urinalysis, which can help detect kidney complications.

5. CPT 90935-90999: Dialysis services. These codes may be relevant if the kidney complications have progressed to the point where dialysis is necessary.

6. CPT 99231-99233: Subsequent hospital care, per day, for the evaluation and management of a patient. These codes are used for inpatient management of diabetes-related complications.

7. CPT 99238-99239: Hospital discharge day management. These codes are used for the discharge of a patient who was admitted for diabetes-related kidney complications.

These CPT codes are examples of the types of services that might be billed in conjunction with the management and treatment of the complications associated with ICD code E11.29. It's important to verify the specific services provided and the payer's guidelines to ensure accurate coding and billing.

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