ICD Code E11.59

ICD code E11.59 is used to classify a diagnosis of Type 2 diabetes mellitus when it is accompanied by other circulatory complications. This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is utilized by healthcare providers to document and categorize diseases and health conditions. The specific code E11.59 helps in identifying patients who have Type 2 diabetes and are experiencing additional circulatory issues, which can include conditions affecting blood flow and vascular health. This classification is crucial for accurate medical billing, treatment planning, and statistical analysis in healthcare settings.

1. Presence of Type 2 Diabetes Mellitus: The patient must have a confirmed diagnosis of Type 2 diabetes mellitus, which is characterized by insulin resistance and relative insulin deficiency.

2. Circulatory Complications: The patient must exhibit circulatory complications that are directly related to their Type 2 diabetes. These complications can include, but are not limited to, peripheral vascular disease, intermittent claudication, or other circulatory issues that are exacerbated by diabetes.

3. Exclusion of Other Causes: Ensure that the circulatory complications are not primarily caused by other conditions unrelated to diabetes, such as congenital vascular disorders or traumatic injuries.

4. Clinical Evaluation: A thorough clinical evaluation should be conducted to assess the extent and nature of the circulatory complications. This may involve diagnostic tests such as Doppler ultrasound, angiography, or other vascular studies.

5. Documentation of Symptoms: Document any symptoms related to circulatory complications, such as pain, numbness, or tingling in the extremities, coldness in the legs or feet, or non-healing wounds or ulcers.

6. Treatment Correlation: The treatment plan should reflect the management of both Type 2 diabetes and the associated circulatory complications, including medications, lifestyle modifications, and possibly surgical interventions.

7. Ongoing Monitoring: Regular monitoring and follow-up should be documented to track the progression of both the diabetes and the circulatory complications, ensuring that the ICD code remains applicable over time.

For the ICD code E11.59, which pertains to Type 2 diabetes mellitus with other circulatory complications, the relevant CPT codes that may be applicable for treatment and management include:

1. 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 to manage diabetes and its complications.

2. 82947: Glucose; quantitative, blood (except reagent strip). This code is used for laboratory testing to monitor blood glucose levels.

3. 83036: Hemoglobin; glycosylated (A1c). This test measures the average blood glucose level over the past two to three months and is crucial for managing diabetes.

4. 93922-93923: Non-invasive physiologic studies of upper or lower extremity arteries. These codes are used for assessing circulatory complications associated with diabetes.

5. G0108-G0109: Diabetes outpatient self-management training services. These codes are used for educational sessions to help patients manage their diabetes effectively.

6. 97802-97804: Medical nutrition therapy. These codes are used for nutritional counseling, which is an essential component of diabetes management.

7. 93000-93010: Electrocardiogram (ECG or EKG) services. These codes may be used if cardiovascular complications are suspected or need monitoring.

It is important to note that the selection of CPT codes should be based on the specific services provided and the clinical judgment of the healthcare provider. Proper documentation and coding practices are essential to ensure accurate billing and reimbursement.

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