Diabetes insipidus
ICD-10 E23.2 is a billable code used to indicate a diagnosis of diabetes insipidus.
Diabetes insipidus (DI) is a disorder characterized by an imbalance of fluids in the body, leading to excessive urination and thirst. This condition arises from a deficiency of the antidiuretic hormone (ADH), also known as vasopressin, which is produced by the hypothalamus and stored in the posterior pituitary gland. Inadequate levels of ADH result in the kidneys' inability to concentrate urine, causing the excretion of large volumes of dilute urine. DI can be classified into two main types: central diabetes insipidus, which is caused by damage to the pituitary gland or hypothalamus due to injury, surgery, or disease, and nephrogenic diabetes insipidus, which occurs when the kidneys do not respond to ADH due to genetic factors or chronic kidney disease. Symptoms include polyuria, polydipsia, and nocturia, which can lead to dehydration and electrolyte imbalances if not managed properly. Diagnosis typically involves a water deprivation test and measurement of plasma and urine osmolality. Treatment may include desmopressin for central DI or addressing the underlying cause in nephrogenic DI.
Thorough documentation of hormone levels, symptoms, and treatment plans.
Patients presenting with polyuria and polydipsia, requiring differential diagnosis.
Endocrinologists must document the specific type of diabetes insipidus and any associated endocrine disorders.
Detailed records of kidney function tests and fluid management strategies.
Patients with nephrogenic diabetes insipidus due to chronic kidney disease.
Nephrologists should focus on the renal response to ADH and document any genetic factors.
Used to evaluate ADH levels in suspected cases of diabetes insipidus.
Document the indication for the test and any relevant patient history.
Endocrinologists should ensure comprehensive documentation of hormone levels.
Central diabetes insipidus is caused by a deficiency of ADH due to damage to the pituitary gland, while nephrogenic diabetes insipidus occurs when the kidneys do not respond to ADH, often due to genetic factors or chronic kidney disease.
