my turn, yeah! i really have a thing for diabetesnow. i have to deal with so much with that, that i'm particularly enjoying talking aboutit. the question had come in. the reason i think this question came in is because i thinkit was in the [carol] buck textbook and it's in the aapc textbook that we use now as well. what is the proper ecode - oh, that's an e-code?- for a diabetic with ketoacidosis due to
malfunction of insulin pump, pump failed todeliver insulin causing ketoacidosis. there's a bunch of research, but she saide-code. i didn't put in e-code. i'll have to think about that. i can probably come upwith it from memory. so, diabetic with ketoacidosis due to failureof insulin pump. now, what you have to think
about when you're doing something where whenyou're coding for something, when you're coding and something goes wrong, think complication.the terminology that you're going to use to look up the codes is complication. there'sa whole great section in the index under complication. so, when you look under complication and thenyou look up "insulin" and then it will say insulin pump, you're going to find 996.57-medical complication due to insulin pump. select this code to report the mechanicalfailure of an insulin pump -- a device used by diabetics that injects insulin to the bloodstream in intervals to regulate blood sugar levels. if you're familiar with a diabetic slidingscale, if you're heard that term before; and
what that is, if you're looking at a prescriptionfor insulin, it will usually say, maybe 10 cc's. they've take it in the afternoon andthe evening but every morning they take 5 cc's, and that's because you want more insulinas you're more active; and when you wake up in the morning you haven't been active soyou don't need as much insulin. but, let's say a person has all kinds of things goingon with their blood sugar so their insulin goes up and down, up and down, and they usea sliding scale. so, they check their sugar before they eat their lunch. if it's 175 to200, they use x amount of insulin. if it's 200 to 250, they use x amount of insulin.they have this like 10-point little grid, you'd say, of how much insulin to go per whattheir blood sugar is.
now, this is really obnoxious to do for someinsulin users because they are constantly having to check their blood sugar. you mayhave to do that like 10 times a day. but what the insulin pump does is it actually checksyour blood sugar for you. you stick it in your side. it's got a little thing that lookslike a cell phone or music thing. you don't even hardly know it's there and it actuallydelivers the insulin as it's supposed to as you need it for your blood sugar. but, ifthat goes wrong, gets clogged, stops working, you are in big trouble and you usually don'tknow it, so you can go into ketoacidosis. so, what is ketoacidosis? 250.10 is the codefor diabetes with ketoacidosis. meaning that ketoacidosis is something that you have constantly,like a manifestation, but this is a manifestation.
this means you're in bad shape. so, type iior unspecified, not stated as uncontrolled, all the things they are associated with. now,they throw in that you can use v58.67 because that's long-term insulin use. so, usuallycode that as well. so, what is ketoacidosis? it's a really badthing for diabetics. it's going to cause all kinds of problems. what it means is it produceshigh levels of blood acids called ketones in the body. the diabetic ketoacidosis developswhen your body is unable to produce enough insulin, thus you would be taking insulin.if your pump is not working and you don't know it, you don't check your sugar, the insulinnormally plays a key role in helping regulate your sugar, your glucose -- a major sourceof energy for your muscles and other tissues
enter your cells. without enough insulin,your body begins to break down fat as an alternate fuel. so, in other words, it literally isgoing to start breaking, feeding off of fat to produce enough insulin for your body tosurvive, which is not a good thing because that's not what the fat was intended to do.and as a result, it's going to make a buildup
Diabetic Retinopathy Icd 10,of toxic acids in the blood stream.
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