steroid induced hyperglycemia icd 10. ICD-10 diabetes mellitus codes are combination codes that include the type. steroid induced hyperglycemia icd 10

 
 ICD-10 diabetes mellitus codes are combination codes that include the typesteroid induced hyperglycemia icd 10  More and more reported cases of steroid-induced diabetes have odds ratios of 1

Type 1 diabetes mellitus with hypoglycemia without coma. This is the American ICD-10-CM version of E10. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . Glucocorticoids represent frequently recommended and often indispensable immunosuppressant and anti-inflammatory agents prescribed in various medical conditions. A population-based study of over 11,000 patients found that the risk for hyperglycemia increased substantially with increasing daily steroid dose; odds ratios (ORs) for hyperglycemia were 1. Major neurocognitive disorder due to vascular disease, mild, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking; Major. All neoplasms, whether functionally active or not. 0X5A ICD-10 code T38. Glucocorticoids are used widely to treat people with inflammatory and autoimmune conditions, 2 malignancies 3 and in hospitalised patients. 9. The term “steroid diabetes” was coined by Ingle in. E84. This ICD-10 to ICD-9 data is based on the 2018 General Equivalency Mapping (GEM) files published by the Centers for Medicare & Medicaid Services (CMS) for informational purposes only. 1 The current trend for maintaining near-euglycemia in hospitalized pa-ICD 10 AM Edition: Seventh edition Retired Date: 30/6/2017 Query Number: 2784. Gestational (pregnancy induced) diabetes. 5-27% of patients placed on steroid therapy [3-4]. This Review highlights new insights into mechanisms of. ICD-10-CM Diagnosis Code G06. E08. Hyperglycemia; Hyperglycemia (high blood sugar); Hyperglycemia due to steroid; Nutrition therapy for pre-diabetes done; Nutritional therapy for pre-diabetes; Steroid induced hyperglycemia. Z92. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. Steroid-induced diabetes mellitus and related risk factors in patients with neurologic diseases. 19 result found: ICD-10-CM Diagnosis Code R73. 0. Supervision of other high risk pregnancies, unspecified trimester. 810 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. SIHG, potentially causes new-onset hyperglycaemia or exacerbation. ICD-10-CM Diagnosis Code E11. If the patient has T2DM- steroid induced, however the steroid has be weaned, we use E11. Conclusion: Glucocorticoid-induced hyperglycemia is an important clinical finding that, if recognized, can be effectively treated. Citation 1 The incidence of GC-induced hyperglycemia is 12%, and a recent meta-analysis suggested that the rate of GC-induced diabetes and hyperglycemia was 18. 500 results found. Search Results. Close systematic. Hyperglycemia; Hyperglycemia (high blood sugar); Hyperglycemia due to steroid; Nutrition therapy for pre-diabetes done; Nutritional therapy for pre-diabetes; Steroid induced hyperglycemia. Search page 1/20: steroid induced hyperglycemia. 9 [convert to ICD-9-CM] Hyperglycemia, unspecified. The 2024 edition of ICD-10-CM O99. 2018 Aug;35(8):1005-1010. Hyperglycemia; Hyperglycemia (high blood sugar); Hyperglycemia due to steroid; Nutrition therapy for pre-diabetes done; Nutritional therapy for pre-diabetes; Steroid induced hyperglycemia ICD-10-CM Diagnosis Code R73. Sulfonylurea Compounds. We report the case of an obese 73-year-old man with no known history of diabetes mellitus. However, the exact prevalence of hyperglycemia secondary to glucocorticoid therapy is not known, making this an. Showing 1-25: ICD-10-CM Diagnosis Code R73. Open-angle glaucoma of right eye caused by steroids; Right steroid responder glaucoma suspect; Steroid responder open angle glaucoma, right eye; Suspected glaucoma of right eye caused by steroids ICD-10-CM Diagnosis Code H40. Given the increasing prevalence of diabetes mellitus (DM) and widespread use of. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code E08. For a subsequent inpatient date what seventh character would you use for steroid induced. ICD-10 code E09. 1 may differ. S. Glucocorticoids (GCs) are potent immunosuppressive and anti-inflammatory drugs and the recent COVID-19 pandemic has highlighted an urgent need to develop clear guidance on how to manage GC-induced hyperglycemia. not notice steroid-induced hyperglycemia, either because it is not considered or because steroids af-fect post-meal glucose much more so than morning fasting sugars. I would like to know how you are coding steroid induced diabetes. This chapter includes symptoms, signs, abnormal. 65. Other abnormal glucose. Abscess in epidural space of cervical spine; Abscess in epidural space. 65 is a valid billable ICD-10 diagnosis code for Drug or chemical induced diabetes mellitus with hyperglycemia . 4 units/mg PED [0. Hyperglycemia, unspecified. Search Page 1/1: hyperglycem. 2016. 4–0. Significant complications are rare, but may be mitigated with proper evaluation of existing risk factors, patient education, and close monitoring after an intra-articular injection of steroids. Multiple guidelines have been published to illustrate best management of glucocorticoid-induced hyperglycaemia. ICD-10-CM Diagnosis Code E09. 0X5A. E09. E08. apy patients is assumed to be 10%. Lead- induced chronic gout, wrist. 9 [convert to ICD-9-CM] Hyperglycemia, unspecified. 0X5D - other international versions of ICD-10 T38. 2 - other international versions of ICD-10 E16. Queensland Clinical Guideline Supplement: Adult inpatient management of steroid induced hyperglycaemia Refer to online version, destroy printed copies after use Page 3 of 17 1 Introduction This document is a supplement to the Queensland Clinical Guideline (QCG) Adult inpatient management of steroid induced hyperglycaemia. Glucocorticoids represent frequently recommended and often indispensable immunosuppressant and anti-inflammatory agents prescribed in various medical conditions. Metformin improves immunosuppressant induced hyperglycemia and exocrine apoptosis in rats. Keywords: steroid-induced diabetes, glucocorticoids, insulin resistance, new onset diabetes after transplant. Follow the instructions in the Tabular List of ICD-10-CM for proper sequencing of these diagnosis codes. 2 - other international versions of ICD-10 D70. 1. Steroid-induced diabetes mellitus is defined as an abnormal increase in blood glucose associated with the use of glucocorticoids in a patient with or without a prior history of. Also using the index takes you to secondary diabetes. [convert to ICD-9-CM]Short description: Abnormal glucose NEC. Chapter 4 Coding Cases . ICD-10-CM Diagnosis Code E11. ICD-10-CM Diagnosis Code H26. The 2024 edition of ICD-10-CM E11. 69 Diabetes mellitus due to underlying condition with other specified complication. Glucocorticoid-induced hyperglycemia and diabetes: Practical points. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'adverse effect of glucocorticoids and synthetic analogues' in more detail. Showing 1-25: ICD-10-CM Diagnosis Code H40. Drug induced dm w hypoglycemic coma; Hypoglycemic coma due to drug induced diabetes mellitus; ICD-10-CM E09. 65 [convert to ICD-9-CM]ICD 10 AM Edition: Eleventh Edition Query Number: 3007. E932. 9. 84 instructs to code first underlying disease if known, such as: diabetes, (one of which listed is E11. E09. For example, a study from the Oslo transplant center showed for the 10-week post-transplant time point that repeatedly elevated fasting plasma glucose ≥ 126 mg/dL and OGTT-derived hyperglycemia at thresholds ≥ 200 mg/dL (diabetes) as well as ≥ 140 mg/dL (impaired glucose tolerance) were all associated with mortality in kidney transplant. The 2024 edition of ICD-10-CM D84. 65 - other international versions of ICD-10 E09. Diabetes mellitus due to cystic fibrosis. 2016. ICD-10-CM Diagnosis Code E11. If glycaemic control is not achieved, evening dose of gliclazide can be added and intermediate-acting insulin considered. Many bodybuilders also combine HGH, and many other substances, with insulin use; a practice known as “stacking”. 9 [convert to ICD-9-CM] Hyperglycemia, unspecified. 0 should only be used for claims with a date of service on or before September 30, 2015. 26. Drug induced myopathy; Glucocorticoid high dose induced myopathy; Steroid-induced myopathy; code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) ICD-10-CM Diagnosis Code G72. ICD-10-CM Diagnosis Code E10. 500 results found. Drug Or Chemical Induced Diabetes Mellitus With Hyperglycemia. The lack of a correlation between hyperglycemia and mortality in this patient population undermines the theoretical rationale for aggressive glycemic control. ICD-9-CM 790. 43 which has Type 2 diabetes with diabetic gastroparesis listed under this code, does not instruct to include code for gastroparesis. We feel that there was a directive some years ago but on scanning the Standard and checking coding. 240. 500 results found. [convert to ICD-9-CM]Search Results. Conclusion: Glucocorticoid-induced hyperglycemia is an important clinical finding that, if recognized, can be effectively treated. 65 may differ. GC-induced hyperglycemia: diabetes-range. Hyperglycemia / therapy* Hypoglycemic Agents / administration & dosage Insulin / administration & dosage. 65. Since there are limited clinical data available to guide therapy, strategies that minimize the risk of adverse effects should be selected for the management of steroid-induced hyperglycemia. 5% (48 mmol/mol) within five years after corticosteroid course. The precise mechanisms for new-onset diabetes in people with COVID-19 are not known, but it is likely that a number of complex interrelated processes are involved, including previously undiagnosed diabetes, stress hyperglycemia, steroid-induced hyperglycemia, and direct or indirect effects of severe acute respiratory syndrome coronavirus 2. ICD-10 code T38. • Steroid induced hyperglycaemia is defined as an excursion of blood glucose levels (BGL) in. 2016. E09. 2016. Drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC). Steroid-induced hyperglycemia is common in diabetic and non-diabetic patients. 041Best answers. 60 to 17. Hyperglycemia icd 9 code. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM. However, steroid-induced diabetic ketoacidosis (DKA) has rarely been reported in the literature. Contact. 3 is a billable icd-10 code used to specify a medical diagnosis of abuse of steroids or hormones. ICD-10-CM Diagnosis Code E11. 01) ICD-10-CM Diagnosis Code T38. In ICD-10-CM, chapter 4, "Endocrine, nutritional and metabolic diseases (E00-E89)," includes a separate subchapter (block), Diabetes mellitus E08-E13, with the categories: E08, Diabetes mellitus due to underlying condition; E09, Drug or chemical induced diabetes mellitus Hyperglycemia, unspecified. ICD-10-CM Diagnosis Code Z83. Correct coding should be done based on contextual judgment. Short description: ADV EFF CORTICOSTEROIDS. R73. 0X5A [convert to ICD-9-CM] Adverse effect of glucocorticoids and synthetic analogues, initial encounter. Hypoglycemic Agents. PREVALENCE. SIHG,. Hyperglycemia; Hyperglycemia (high blood sugar); Hyperglycemia due to steroid; Nutrition therapy for pre-diabetes done; Nutritional therapy for pre-diabetes; Steroid induced hyperglycemia. Therapies that may be safe and effective given current information include DPP-4 inhibitors, metformin, and w. GCs potentially aggravate hyperglycemia in patients with diabetes, trigger symptoms in patients with undiagnosed diabetes or precipitate GC. This is the American ICD-10-CM version of D84. Methods A 4-month retrospective study was. They randomized the patients to dexamethasone 20 mg/day for 5 days, and then 10 mg/day on days 6 to 10, and then stopped the steroid shortly after that in most patients. 633A, T38. Patients not known to have diabetes with HbA1c <6. Sulfonylureas are the first-choice oral treatments for steroid-induced hyperglycaemia, as their impact on blood-glucose lowering is immediate. 9 [convert to ICD-9-CM] Hyperglycemia, unspecified. Insulin pump leakage, with underdose of insulin resulting in hyperglycemia in a type 1 diabetic, initial treatment. These issues have made corticosteroid-induced hyperglycemia a difficult problem to study, and the current practice of adjusting usual insulin regimens is often ineffective. Hyperglycemia is blood glucose greater than 125 mg/dL while fasting and greater than 180. At present, steroids are used in up to a third of people receiving ICPs, further increasing the risk of hyperglycemia, and steroid induced T2DM. 6 This is all the more important as the type and doses of. Pharmacotherapy. Since there are limited clinical data available to guide therapy, strategies that minimize the risk of adverse effects should be. Research design and methods We identified non-surgical hospitalized patients with heart failure and type 2 diabetes from a large electronic medical record-based database of diabetes in China. ICD-10-CM Range T36-T50. ICD-10-CM Diagnosis Code R73. 65. The 2024 edition of ICD-10-CM O99. The odds ratio for new-onset diabetes mellitus in patients treated with glucocorticoids ranges from approximately 1. Personal history of medical treatment (Z92) Personal history of systemic steroid therapy (Z92. 5 - other international versions of ICD-10 E78. Search Results. Diabetes due to underlying condition w hyperglycemia. 4. Get free rules, notes, crosswalks, synonyms, history for icd-10 code e09. 2 The prevalence of steroid-induced diabetes is not pre-cisely known; however, literature indicates an incidence of approximately 12%. 0 should only be used for claims with a date of service on or before September 30, 2015. Adult patients with steroid-induced hyperglycemia on combination therapy of an intermediate-acting steroid and once daily NPH. 339. 29 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 790. The 7th characters that can be added, and the resulting billable codes, are as follows: 7th Digit. Drug or chemical induced diabetes mellitus w hyperglycemia; Drug induced dm w hyperglycemia; Hyperglycemia due to drug induced diabetes mellitus; Hyperglycemia due to steroid. 0. Supervision of other high risk pregnancies, unspecified trimester. The 2024 edition of ICD-10-CM E26. Emphasizes the use of emerging diabetes technology and. 1 - other international versions of ICD-10 E89. However, symptoms may not be present unless blood. 9 is a billable diagnosis code used to specify a medical diagnosis of drug or chemical induced diabetes mellitus without complications. 0X5 for Adverse effect of glucocorticoids and synthetic analogues is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes . ICD-10-CM Code for Drug or chemical induced diabetes mellitus with hyperglycemia E09. 65. This can lead to diabetes. They can exacerbate hyperglycemia in patients with diabetes mellitus or facilitate the development of metabolic disease in apparently healthy subjects, the so-called steroid-induced diabetes mellitus. Corticosteroids are the most common cause of drug-induced hyperglycemia, with a reported incidence of 64% to 86% of hospitalized patients, with 70% achieving glucose levels greater than 180 mg/dL. Other and unspecified ovrexrtn or strnous move/pstr; Contact pressure; Contact stress. Blood glucose, blood gases, and urine test results were diagnostic for ketoacidosis. It is part of the category R70-R79 for. This is the American ICD-10-CM version of H40. 65 is a valid billable ICD-10 diagnosis code for Drug or chemical induced diabetes mellitus with hyperglycemia . 0X5A for Adverse effect of glucocorticoids and synthetic analogues, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes . Coding Guideline I. Showing 1-25: ICD-10-CM Diagnosis Code R73. Numerous efforts have been made to identify the empirically and theoretically optimal regimen for GCIH based on the typical glycemic profiles [ 6 – 10 ]. 0 became effective on October 1, 2023. 65 [convert to ICD-9-CM] Type 2 diabetes mellitus with hyperglycemia. 30. Hyperglycemia; Hyperglycemia (high blood sugar); Hyperglycemia due to steroid; Nutrition therapy for pre-diabetes done; Nutritional therapy for pre-diabetes; Steroid induced hyperglycemia. Postprocedural hypoinsulinemia. Adult patients with steroid-induced hyperglycemia on combination therapy of an intermediate-acting steroid and once daily NPH. Yes, we do have a default code in ICD-10-CM for those times the physician just doesn’t document anything more than “diabetes”—it’s E11. 65 [convert to ICD-9-CM]ICD-10-CM Diagnosis Code T38. 9. The 2024 edition of ICD-10-CM D70. 02 may differ. Hyperglycemia is associated with increased morbidity and mortality in non-critically ill hospitalized patients [1–3]. It can occur in people with or without a history of diabetes. Discover 2023 ICD-10 codes for diagnosing abnormal lab results, including R79. 9 [convert to ICD-9-CM] Hyperglycemia, unspecified. 2. ICD Code T38. A11. ICD-10-CM Diagnosis Code E09. ICD-10 Codes Used for Loss of Consciousness: Navigate the essential ICD-10-CM codes utilized for diagnosing and documenting instances of loss of consciousness in 2023. 2. Steroid-induced hyperglycemia is common in patients treated for cancer, and glycemic control is crucial since hyper-glycemia worsens morbidity and mortality [3–5]. - Type 2 Diabetes mellitus with Y42. D84. 0X5 ICD-10 code T38. ICD-10-CM Diagnosis Code R73. Lightheadedness, dizziness, confusion, sweating, shaking, fast or pounding heartbeat. 0 - Adv eff corticosteroids: Combination Flag - Multiple codes are needed to describe the source. ICD-10 Chapter 4 Questions: Diseases of Endocrine/Metabolic. 7 Glucocorticoids are a common cause of new-onset hyperglycemia in hospitalized patients, and new-onset hyperglycemia is associated with an increased 1147937Short description: Sec DM wo cmp nt st uncn. Steroids might exacerbate hyperglycemia in patients with diabetes or facilitate the development in apparently healthy subjects of the so-called steroid-induced diabetes mellitus (SIDM), which represents an independent risk factor for other steroid therapy complications [3]. 65 - other international. 00, E11. If the patient has T2DM- steroid induced, however the steroid has be weaned, we use E11. Hyperglycemia, unspecified. New, potent medications contribute to this problem in a population already at high risk of developing glucose disturbances because of poor lifestyle habits and high prevalence of being overweight/obese. Diabetes type 1 with hyperglycemia; Hyperglycemia due to type 1 diabetes mellitus. ICD-10-CM Diagnosis Code E11. On the other hand, type 1 and type 2 diabetes are lifelong conditions requiring ongoing management. E09. Work less, earn more with our listing of the most common ICD-10 codes in diabetes. 80 should only be used for claims with a date of service on or before September 30, 2015. If it is documented as diabetes then code. Similarly, glucocorticoid (GC)-exacerbated hyperglycemia is shown to increase morbidity, infection rates, and hospital stay []. [convert to ICD-9-CM]Diabetes type 2 with hyperglycemia;. R73. Twenty expert endocrinologists, in a virtual meeting, discussed the evidence and practical experience of real-life management of. 11. On the other hand, I have seen 'diabetes type 2 - uncontrolled due to steroids". 810 - other international versions of ICD-10 O99. 620 Diabetes mellitus due to underlying condition with diabetic dermatitis. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. ICD-10-CM Diagnosis Code R73. ICD-10-CM Diagnosis Code E11. 1 became effective on October 1, 2023. Rather, it shares the classification with conditions like steroid-induced hyperglycemia, hypoglycemia, and other 20 conditions and symptoms. 0 - other international versions of ICD-10 G72. 4: Long-term use of insulin. 6% and 32. I am looking in a study book for 2010 that still says to use 251. ICD-9-CM 790. 508. Type 2 diabetes mellitus with hyperosmolarity without nonketotic. Best answers. Other risk factors include age and body. The prevalence of steroid-induced diabetes is not precisely known; however, literature indicates an incidence of approximately 12%. 812: Other pre-existing diabetes mellitus in pregnancy, second trimester. If it is documented as hyperglycemia the you code. Steroid-induced. Hyperglycemia; Hyperglycemia (high blood sugar); Hyperglycemia due to steroid; Nutrition therapy for pre-diabetes done; Nutritional therapy for pre-diabetes; Steroid induced hyperglycemia. Glucocorticoids, also known as steroids, are a class of anti-inflammatory drugs utilised widely in clinical practice for a variety of conditions. ICD-10-CM Diagnosis Code E10. E78. A recent study suggests that even a few days of hyperglycemia have deleterious effects on the immune system. Optimal glucocorticoid-induced hyperglycemia (GCIH) management is unclear. 0X5D may differ. Drug or chemical induced diabetes mellitus with intercapillary glomerulosclerosis; Drug or chemical induced diabetes mellitus with intracapillary glomerulonephrosisThe use of GCs needs to be weighed against their adverse effects of aggravating hyperglycemia in persons with diabetes mellitus (DM), unmask undiagnosed DM, or precipitate GC-induced DM. Hyperglycemia; Hyperglycemia (high blood sugar); Hyperglycemia due to steroid; Nutrition therapy for pre-diabetes done; Nutritional therapy for pre-diabetes; Steroid induced hyperglycemia. 0. E11. The U. ICD-10-CM Code for Adverse effect of glucocorticoids and synthetic analogues, initial encounter T38. 77, 3. Several studies have suggested that neutral protamine Hagedorn (NPH) insulin may be useful in treating corticosteroid-induced hyperglycemia in the setting of. 81 - other international versions of ICD-10 D84. 2 may differ. Hyperglycemia; Hyperglycemia (high blood sugar); Hyperglycemia due to steroid; Nutrition therapy for pre-diabetes done; Nutritional therapy for pre-diabetes; Steroid induced hyperglycemia. ICD-10-CM Diagnosis Code R73. ICD-10-CM Diagnosis Code E11. 4. However, the diagnosis and treatment of corticosteroid-induced hyperglycemia is surprisingly undervalued by most. 7 Glucocorticoids are a common cause of new-onset hyperglycemia in hospitalized patients, and new-onset hyperglycemia is associated with an increased risk of morbidity and mortality compared with chronic. E16. Steroid-induced insulin resistance is dependent both on steroid type and duration of use, with longer-acting steroids exhibiting increased duration of hyperglycemia. Diabetes mellitus due to cystic fibrosis. 65 [convert to ICD-9-CM] Search Results. Vascular dementia, mild, with agitation. 0X5A: 995. ICD-10-CM Diagnosis Code E10. Approximate Synonyms. 790. High-risk situations are identified, and the short- and long-term dangers summarised. 9 - other international versions of ICD-10 D84. GC-induced. 00. ; E932. Action Required. Insulin pump leakage, with underdose of insulin resulting in hyperglycemia in a type 1 diabetic, initial treatment. Since there are limited clinical data available to guide therapy, strategies that minimize the risk of adverse effects should be selected for the management of steroid-induced hyperglycemia. We report the case of an obese 73-year-old man with no known history of. Drug-induced diabetes mellitus is a growing problem in clinical practice. E09. We propose a relatively simple schema for the proactive management of corticosteroid-induced hyperglycemia that has been effective and easily adaptable to both the inpatient and the outpatient setting. 9 is grouped in the following Diagnostic Related Group(s) (MS-DRG v39. 649 became effective on October 1, 2023. 9 (type 2 diabetes mellitus without complications) doesn’t really tell us much. The 2024 edition of ICD-10-CM H40. 264. 1 Glucocorticoid-induced diabetes and hyperglycaemia are common. Diabetes and hyperglycaemia are associated with increased morbidity and large healthcare and economic costs. Patients not known to have diabetes with HbA1c <6. 65 [convert to ICD-9-CM] Abstract. E08. We would like to show you a description here but the site won’t allow us. ICD-10-CM Diagnosis Code F19. Tiredness and lethargy. The primary outcome was the percentage of patients who achieved euglycemia on day 3 of combination therapy. More and more reported cases of steroid-induced diabetes have odds ratios of 1. An analysis of the World Health Organizations (WHO) pharmacovigilance database over a 4-year period detected 283 cases of ICP-induced diabetes mellitus, 50. An Australian study of 80 hospitalized people without diabetes reported that 70% of subjects had at least one blood glucose measurement of ≥10. 9. 65 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-10-CM Diagnosis Code E11. High dosage and longer duration of steroids are strong predictors of diabetes. 65Search Results. 29 should only be used for claims with a date of service on or before September 30, 2015. 29 - Adv eff med/biol NEC/NOS: Combination Flag - Multiple codes are needed to describe the source diagnosis code. 1 A diagnosis of diabetes is established based on symptoms of hyperglycemia accompanied by an elevated glycated hemoglobin (HbA1c) ≥6.