Hyperosmolar Hyperglycemic State ICD-10-CM Codes
Read this short guide and learn about hyperosmolar hyperglycemic state ICD codes you can use.
Fact Checked by Ericka Pingol.
What hyperosmolar hyperglycemic state ICD codes can I use?
If you’re looking for hyperosmolar hyperglycemic state ICD codes to use but are having difficulty finding some, that’s because there are no ICD-10 codes that specifically mention hyperosmolar hyperglycemic state in their names. The closest you’ll find are those that say hyperglycemic-hyperosmolar coma, but the thing is, the ICD-10 codes will likely mention something like without nonketotic hyperglycemic-hyperosmolar coma (NKHHC).
But you need ICD-10 codes that are for patients who are in a hyperosmolar hyperglycemic state, and there are two ICD-10 codes that you can use for it:
- E11.01 - Type 2 diabetes mellitus with hyperosmolarity with coma
This ICD-10 code is meant to be used on a patient confirmed to have Type 2 Diabetes Mellitus with hyperosmolarity (which means the blood has a high concentration of salt, glucose, and other substances) and is in a coma. While it doesn’t mention hyperglycemia (which means there is a high amount of glucose in the blood), you may use this since hyperosmolarity counts glucose salt and other substances.
- E11.69 - Type 2 diabetes mellitus with other specified complications
This ICD-10 code is meant to be used on a patient confirmed to have Type 2 Diabetes Mellitus accompanied by a difficulty that doesn’t have a specific ICD-10 code. Since the hyperosmolar hyperglycemic state doesn’t have a specific ICD-10 code named after it, you can either use the code in Item 1 or this one.
Are these hyperosmolar hyperglycemic state ICD codes billable?
Yes. Both of these hyperosmolar hyperglycemic state-related ICD-10 codes are valid and billable.
Clinical information about the hyperosmolar hyperglycemic state:
When we speak of hyperosmolar hyperglycemic states, we’re speaking of a condition in which a person has a high amount of glucose, salt, and other substances. This is not good because this is a life-threatening state resulting from untreated/unmanaged Type 2 Diabetes. This can be exacerbated by infections in the body, heart attacks, neurological problems like stroke, a medication that increases fluid loss and negatively impacts the effects of insulin, and not taking diabetes management medication.
A person in a hyperosmolar hyperglycemic state will likely have the following symptoms:
- They will feel tired and nauseous
- They will feel dazed and confused
- Their mouth and tongue will become dry
- They will have a fever and may have seizures
- They might lapse into a coma
Synonyms include:
- Hyperglycemia due to diabetes mellitus
- Hyperglycemic crisis due to diabetes mellitus
- Hyperosmolar coma due to diabetes mellitus
- Hyperosmolar coma due to type 2 diabetes mellitus
- Hyperosmolar hyperglycemic coma due to diabetes mellitus without ketoacidosis
- Hyperosmolar non-ketotic state due to diabetes mellitus
- Severe hyperglycemia due to diabetes mellitus
Commonly asked questions
While both HHS and DKA are severe complications of diabetes, they have distinct differences. HHS usually has much higher blood sugar levels and doesn't involve significant ketones in the blood, whereas DKA does. HHS typically affects those with type 2 diabetes, while DKA is more common in type 1.
Early signs of HHS include extreme thirst, frequent urination, dry mouth, warm skin without sweating, high fever, sleepiness or confusion, and vision loss. If any of these symptoms are observed, seeking medical attention immediately is essential.
Yes, regular monitoring of blood sugar levels, taking diabetes medications as prescribed, staying hydrated, and seeking medical advice when ill or when blood sugar levels are consistently high can help prevent HHS. Regular medical check-ups and diabetes education are also crucial in prevention.
