E13.65 Other specified diabetes mellitus with hyperglycemia

ICD10CM code

#### Name of the Condition
- Other Specified Diabetes Mellitus with Hyperglycemia (ICD-10 Code E13.65)

#### Summary
- Other specified diabetes mellitus with hyperglycemia is a form of diabetes characterized by high blood sugar levels due to various specific diabetes-related conditions that are not covered by other well-defined categories.

#### Causes
- The condition can be caused by a range of factors, including genetic predispositions, certain medications, and underlying medical conditions that affect insulin production or utilization.

#### Risk Factors
- Risk factors include obesity, sedentary lifestyle, family history of diabetes, history of cardiovascular disease, and certain hormonal disorders.

#### Symptoms
- Symptoms may include frequent urination, excessive thirst, unexplained weight loss, fatigue, blurred vision, and slow-healing sores.

#### Diagnosis
- Diagnosis typically involves blood tests such as fasting blood glucose, HbA1c levels, and oral glucose tolerance tests, alongside patient history and physical examination.

#### Treatment Options
- Treatment options generally include lifestyle modifications such as diet and exercise, oral antidiabetic medications, and in some cases, insulin therapy. The goal is to manage blood glucose levels effectively and prevent complications.

#### Prognosis and Follow-Up
- With proper management, patients can maintain normal or near-normal blood glucose levels and a good quality of life. Regular monitoring of blood sugar levels and periodic medical check-ups are important for managing the condition over the long term.

#### Complications
- If not well-managed, complications can include cardiovascular disease, neuropathy, nephropathy, retinopathy, and an increased risk of infections.

#### Lifestyle & Prevention
- Adopting a healthy diet, engaging in regular physical activity, maintaining a healthy weight, and monitoring blood sugar levels can significantly reduce the risk and help in managing the condition.

#### When to Seek Professional Help
- Seek immediate medical attention if you experience symptoms such as extreme fatigue, significant changes in vision, persistent high blood sugar readings, or symptoms of ketoacidosis like nausea and abdominal pain.

#### Additional Resources
- American Diabetes Association (ADA) [www.diabetes.org](https://www.diabetes.org)
- Centers for Disease Control and Prevention (CDC) [www.cdc.gov/diabetes](https://www.cdc.gov/diabetes)

#### Tips for Medical Coders
- Ensure specificity when coding, as E13.65 requires that diabetes is specified but does not fit under the more common categories.
- Avoid common errors such as incorrectly coding it as type 1 or type 2 diabetes without specified criteria.

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