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Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy
ICD10CM code
Name of the Condition
- Other Specified Diabetes Mellitus with Diabetic Autonomic (Poly)neuropathy
- Commonly referred to as diabetic autonomic neuropathy associated with other types of diabetes.
Summary
- This condition involves damage to the autonomic nerves resulting from types of diabetes not classified as Type 1 or Type 2. The autonomic nervous system controls involuntary bodily functions, such as heart rate, digestion, and breathing.
Causes
- This is often a long-term complication of chronic elevated blood glucose levels. Other types of diabetes, such as monogenic diabetes or diabetes due to underlying conditions like cystic fibrosis, can also cause autonomic neuropathy.
Risk Factors
- Poorly controlled blood sugar levels.
- Long-standing diabetes.
- Age: older individuals may be more at risk.
- Obesity and a sedentary lifestyle.
Symptoms
- Dizziness and fainting due to changes in blood pressure.
- Gastrointestinal issues such as nausea, vomiting, or diarrhea.
- Bladder problems and urinary tract infections.
- Sexual dysfunction.
Diagnosis
- Comprehensive patient history and physical examination.
- Tests such as autonomic reflex screening and heart rate variability tests.
- Blood tests to manage and monitor glucose levels.
Treatment Options
- Blood sugar management through medications such as insulin or oral hypoglycemics.
- Dietary changes and physical activity to improve glycemic control.
- Medications to manage specific symptoms, like antinausea drugs for gastrointestinal symptoms.
Prognosis and Follow-Up
- The progression varies based on individual patient factors and glucose control.
- With appropriate management, symptoms can be controlled, but nerve damage may not be reversible.
- Regular follow-ups to monitor diabetic control and symptom progression.
Complications
- Severe instability in blood pressure.
- Increased risk of cardiovascular events.
- Digestive problems that can lead to nutritional deficiencies and weight loss.
Lifestyle & Prevention
- Good diabetic management with regular monitoring of blood glucose.
- Healthy diet and regular physical activity consistent with diabetes recommendations.
- Smoking cessation and limitation of alcohol intake.
When to Seek Professional Help
- Sudden severe abdominal pain.
- Loss of bladder or bowel control.
- Persistent dizziness or heart palpitations.
Additional Resources
Tips for Medical Coders
- Confirm that the diabetes type does not fall under Type 1 or Type 2 to use E13.43.
- Be wary of the clinical documentation that specifies the neuropathy is autonomic.
- Common errors include misclassification under unspecified or incorrect specific diabetes types.