Type 2 diabetes mellitus with hyperosmolarity with coma
ICD-10 E11.01 is a billable code used to indicate a diagnosis of type 2 diabetes mellitus with hyperosmolarity with coma.
E11.01 refers to Type 2 diabetes mellitus characterized by hyperosmolar hyperglycemic state (HHS) leading to coma. This condition typically arises in patients with poorly controlled diabetes, where extremely high blood glucose levels result in severe dehydration and electrolyte imbalances. The hyperosmolar state is marked by an elevated serum osmolality, often exceeding 320 mOsm/kg, and can lead to neurological impairment, including coma. Patients may present with symptoms such as extreme thirst, frequent urination, dry skin, and altered mental status. Management involves aggressive rehydration, insulin therapy to lower blood glucose levels, and careful monitoring of electrolytes. The condition is more common in older adults and those with comorbidities, emphasizing the need for comprehensive diabetes management to prevent such acute complications.
Detailed patient history, including diabetes management and lab results.
Patients presenting with severe hyperglycemia and altered mental status.
Ensure clear documentation of the acute nature of the condition and any prior diabetes management.
Immediate assessment findings, lab results, and treatment provided.
Patients arriving in a coma or altered mental status due to hyperglycemia.
Document the timeline of events and interventions performed.
Used when a patient with E11.01 presents to the emergency department in a coma.
Document the patient's condition, vital signs, and treatment provided.
Emergency physicians should ensure comprehensive documentation of the acute presentation.
Key symptoms include extreme thirst, frequent urination, dry skin, confusion, and altered mental status, which can progress to coma if untreated.
