Medical Coding And Billing Tutorials for Beginners | ICD-Chapter 4 - 17

Hello everyone, welcome to great online

training. Today we are going to learn

about ICD chapter 4 which is endocrine

nutritional and metabolic diseases.

Arjuna are you there

Arjuna? So the code ranges in this

chapter are E00 to E89. Okay. So today

we going to cover following topics.

Diabetes militus introduction then

diabetes militus complications then ICD

coding guidelines for diabetes militus

and complications due to insulin pump

malfunction and secondary diabetes

militus. Then we'll see diabetes militus

in pregnancy and lastly question and

answers. Okay. So we'll see how to put

complication due to insulin pump

malfunction. Secondary diabetes militus

how to code and again diabetes militus

in pregnancy. Okay. So let's proceed.

First we'll see introduction. So in this

in this topic we have several code

ranges or you can say sub chapters.

Okay. E00 to E9 is for disorders of

thyroid gland. E08 to E13 is for

diabetes militus. E15 to E16 is for

other disorders of glucose regulation

and pancreatic internal secretion. Then

E20 to E35 is for disorders of other

endocrine glands. E36 is for

intraoperative complications of

endocrine system. E42 to E46 is for

malnutrition. E52 E64 is for other

nutritional

deficiencies. Then E65 to E68 is for

overweight, obesity and other hyper

eliminations. Then E7 to E88 is for

metabolic disorders and E89 is for

post-procedural endoprine and metabolic

complications and disorders not

elsewhere classifiers. Okay. So these

are several code ranges uh for different

sub chapters but

basically there are lots of guidelines

to follow uh in diabetes. So today we'll

see guidelines for Eero to E13 because

this sub chapter has many guidelines. So

what is diabetes? Diabetes simulators

arises due to body's inability to

produce enough insulin to regulate the

blood glucose or the inability to

effectively use the produced insulin.

Either our body is not capable of

producing enough insulin or in other

time even if our body produces enough

insulin our body not able to effectively

use that insulin. Okay. In both the

cases diabetes militus happen because it

will increase your body's glucose level.

Right? So diabetes militus can be

categorized into type one and type two.

So this picture can explain better. This

is healthy pancrea which produces

insulin. Then insulin

receptor receives this glucose and

convert properly. Okay. But in case of

type 1 diabetes,

pancreas are not able to produce

insulin. Okay. But uh and in case of

type 2 diabetes militus insulin is

produced but our insulin receptors are

not working properly. So cells fail to

respond insulin properly. Okay. So in

type one pancreas are failed to produce

insulin. Whereas in case of type 2

diabetes melus pancreas are producing

enough insulin but that cell cells

insulin receptors are not working

properly. So cell fail to uh respond to

that insulin properly. Okay. So first

we'll see type 1 diabetes. Type 1

diabetes mitus it is also known as

juvenile diabetes as this form of

diabetes appears before 18 years of age

or insulin or insulin dependent diabetes

militus. So type 1 diabetes militus is

also known as juvenile diabetes militus

because it arise it appear before 18

years of age or sometime it also known

as insulin dependent diabetes militus as

it is an autoimmune disease caused

because of selective destruction of

insulin producing beta cells of pancreas

which leads to little or no production

of insulin. Okay. So type 1 diabetes

militus patients are are dependent on

external insulin supply to survive.

Okay. So they as to external insulin for

their survival of life. Okay. That's why

it is also known as insulin dependent

diabetes. Okay. Sorry. And all this

information is very very important. Even

though if you are going for medical

coding interview as a fresher or as a

experienced medical coder or even in

your medical coding exam or any

interview related aptitude medical

coding interview related aptitude exam

they will definitely ask you question

about this type of diabetes militus or

difference between them or they can they

may ask you to expl explain difference

between type one and type two. Okay. Or

there there are different synonyms. So

type one is joal diabetes militus or IDM

insulin dependent diabetes militus.

Okay. The next type is type 2 diabetes

militus. It is adult onset diabetes also

known as non-inssulin dependent diabetes

militus. Okay. So

NDM means noninssulin dependent diabetes

militus. Please make a note of it. IDM

means type one whereas NIDM means type.

Okay. This is the most common type of

diabetes seen in elderly population

caused due to inadequate insulin uh

production by the pancreas or due to

inability of the body to use the insulin

effectively. Okay. So type two diabetes

militus is also known as Ni NDM. So

please make a note of it. Type 1

diabetes militus is also known as

juvenile diabetes and IDM insulin

dependent diabetes militus. Whereas type

2 diabetes militus is also known as

non-inssulin dependent diabetes

simulators. N I DD M okay you can say

that type 2 diabetes mitus is due to it

is

lifestyle related diabetes militus okay

it depends on

how you your daily activities how you

take your daily food and all okay so now

we'll see complications of diabetes

militus in case of brain it increase

risk of stroke or cardiovascular disease

including

transientic attack, cognitive impairment

etc. Okay. If you have diabetes you have

risk of high high BP high blood pressure

and insulin resistant increase risk of

heart disease. Okay. In case of

extremities, peripheral vascular disease

results from narrowing of blood vessels,

increasing the risk of for reduced or

lack of blood flow in legs. Okay. Fit

wounds are likely to heal slowly

contributing to gangrine and other

complications. So, uh these are

complications of diabetes malitus. Again

in case of I uh if you have uh high

glucose high blood glucose and high

blood pressure that can damage eye blood

vessels causing retinopathy catacts and

glaucoma. Okay. In case of kidney if you

have high blood pressure damages small

blood blood vessels and excess blood

glucose overworks the kidney resulting

in

neopathy. Okay. And in case of

neuropathy, hypoglycemia damages nerves

in the peripheral nervous system. Okay.

This may result in pain and or numbness.

Feet bones may go

undictated get infect uh sorry go

undictated go get infected and lead to

okay. So there are many chances of

diabetes patient that if they have any

uh wound or those wound will heal slowly

and they contributing to gangrine and

other complications. Okay. So these are

complications related to diabetes

militus. Now we'll see different coding

guidelines ICD coding guidelines for

diabetes militus. Diabetes milit militus

ICD10 course may be single or

combination course which includes

followed. Why we are learning ICD coding

guidelines for diabetes simulators?

Because most of the diabetes militus

course have as combination. So there are

lots of coding guidelines present for

diabetes militus. Other sub chapters are

easy. So there are uh not much coding

guidelines that's why we learn diabetes

simulators coding guidelines. Okay. And

even

uh in your medical coding interview or

any exam they mostly ask for diabetes

militus only. Okay. Diabetes militus