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 . K43. Fasting ketosis and alcoholic ketoacidosis will be reviewed here. 10 may differ. Although “respiratory acidosis” indexes to E87. Starvation ketosis in pregnancy has been described in the literature [1, 3, 11, 15, 18, 23–25], but the few cases presenting with such severe acidosis have been associated with diabetes mellitus. ICD-10-CM Code for Starvation T73. Abstract and Figures. 10. This is the American ICD-10-CM version of L57. E10. Starvation ketoacidosis (SKA) constitutes an important consideration in the pregnant patient who presents with profound metabolic acidosis. This is the American ICD-10-CM version of E10. 24 may differ. Similar to Alcoholic Ketoacidosis (also related to inadequate Glucose) Ketone Bodies from Triglyceride metabolism (acetyl-CoA via ketogenic pathway) in the absence of Glucose. [19, 20] In established patient Continue reading >>Starvation Ketosis Icd 10. A41. E10. Labs revealed an anion-gap metabolic acidosis with ketosis. Nephrologists petitioned for and received a chronic metabolic acidosis code. Good with treatment [1] Alcoholic ketoacidosis ( AKA) is a specific group of symptoms and metabolic state related to alcohol use. Clinically, metabolic acidosis due to ketone overload is caused by diabetes, alcohol, and starvation. Occurs when GFR <20-30 ml/min. K43. 129 became effective on October 1, 2023. 1-, other specified diabetes mellitus with ketoacidosis with or without coma. Kitabchi AE, Umpierrez GE, Miles JM, et al. Metabolic acidosis is a condition that occurs when the body produces excessive quantities of acid or when the kidneys are not removing enough acid from the body. a life-threatening complication of diabetes mellitus, primarily of type 1 diabetes mellitus with severe insulin deficiency and extreme hyperglycemia. ICD-10-CM Coding Rules. The body does this by first converting fat into what are called ketones that the cells can then burn as fuel. Starvation ketoacidosis is not widely recognized as a perioperative entity, and it is not well described in the medical literature. Increased thirst. It is characterized by persistent nausea and vomiting not related to other causes that is associated with a measure of acute starvation, such as ketosis and weight loss (>5% of prepregnancy weight). Common problems that produce ketosis include alcoholism and starvation. 0 may differ. Hypoglycemia, unspecified. This is the American ICD-10-CM version of E16. 5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM K43. Severe acidosis caused by starvation and stress. 00 - other international versions of ICD-10 E11. Re-check blood glucose in. Applicable To. This produces an acid called ketones, which can build up in your blood and urine. 2020;38:204-207. This is the American ICD-10-CM version of E10. 2018 Icd-10-cm Diagnosis Code E87. Ketogenic Therapy (KT) utilizing the ketogenic diet (KD) has a long-established success in treating adults and children with refractory epilepsy. This is the American ICD-10-CM version of O99. Starvation. 0XXA : S00-T88. ICD-10 code T73. ICD 10 code for Type 2 diabetes mellitus with ketoacidosis without coma. 019. Ketonemia or ketonuria (plasma beta0hydroxybutyrate >3 mmol/l or urine ketones ≥3+) pH <7. The ketogenic diet (KD) is a high-fat, adequate-protein, and low-carbohydrate diet that leads to nutritional ketosis and weight loss. 07/10/2002. 988 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Metformin Contraindications Gfr. Fasting or starvation results in an inadequate Glucose supply for metabolic need. 1. Starvation Ketosis Icd 10. Short description: Type 2 diabetes w unsp diabetic rtnop w/o macular edema This is the American ICD-10-CM version of E11. This is the American ICD-10-CM version of E87. 87 was previously used, M62. Placental production of hormones, including glucagon and human placental lactogen, leads to the. A A A Urine Test Test Overview A urine test checks different components of urine, a waste product made by the kidneys. ICD-10-CM Diagnosis Code E09. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM K76. 1. E10. Euglycemic diabetic ketoacidosis (EDKA) is a rare but potentially life-threatening complication of diabetes mellitus. Jan 11, 2018 DTN Staff. The possibility is raised that the ketosis of fasting is due to a direct activation of acetoacetate-synthesizing enzymes secondary to a starvation-induced. The Ketogenic Diet and Diabetes; Ketogenic Amino Acids. Starvation ketosis is associated with low serum bicarbonate < 18 mEq/L, but alcoholic ketosis has significantly high serum bicarbonate levels. The patient is in a state of chronic carbohydrate deficit and is dependent on alcohol for calories. ketosis Dec 27, 2022. . The distinction is not as important as you would think. 65 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Normally, the lungs take in oxygen and exhale CO2. A severe metabolic acidosis during pregnancy may occur when poor food intake is combined with the use of catecholamines such as the β-adrenergic agonists terbutaline and ritodrine. Z Disclaimer . 8 became effective on October 1, 2023. While easily treated, it is a diagnosis that can be easily missed in patients with an unexplained metabolic acidosis. Diabetic Ketoacidosis* / diagnosis. An appreciation of these processes can provide the clinician better. How do coders report diabetic ketoacidosis in ICD-10-CM? Back in 2018, a new code was introduced to report Type 2 diabetic ketoacidosis (DKA). Th. This is the American ICD-10-CM version of E71. The 2022 edition of ICD-10-CM F10. Low carbohydrate ketogenic diet enhances cardiac tolerance to global ischaemia. This is the American ICD-10-CM version of K43. Defects in the complement system. Starvation is a severe deficiency in caloric energy intake needed to maintain human life. Starvation Ketosis and the Kidney. 9 may differ. 21), chronic (E87. 988 became effective on October 1, 2021. O99. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. Starvation ketosis outside pregnancy is rare and infrequently causes a severe acidosis. Labs revealed an anion-gap metabolic acidosis with ketosis. However, starvation ketosis differs from DKA; in healthy individuals or in individuals with obesity without diabetes mellitus who starve, β-hydroxybutyrate concentrations can reach 5–6 mmol/l. Placental production of hormones, including glucagon and human placental lactogen, leads to the. -) 896 Alcohol, drug abuse or dependence without rehabilitation therapy with mcc. Therefore, how would you report uncontrolled type I diabetes with ketoacidosis in ICD-10-CM? Should the code for diabetes with hyperglycemia (E10. 2020-0012. 8. This is the American ICD-10-CM version of E10. 1. ICD-9-CM 567. The criteria for diagnosis of diabetic ketoacidosis (DKA) include: Blood glucose >250 mg/dl. Remove the strip from the urine and wait 15 seconds. The code is linked to some Quality Measures as part. . 5 - other international versions of ICD-10 K31. If you notice that a family member or friend has low self-esteem, severe dieting habits and dissatisfaction with appear. The ICD code T730 is used to code Starvation. fatigue. 12 should only be used for claims with a date of service on or before September 30, 2015. “Ketosis is a way of. Respiratory acidosis is an acid-base balance disturbance due to alveolar hypoventilation. What are the symptoms of hypoglycemia? While each child may experience symptoms of hypoglycemia differently, the most co. This was previously reported with code E13. You may use this feature by simply typing the keywords that you're looking for and clicking on one of the items that appear in. 10 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM F10. 1053/S0272-6386(03)01023-0 16 American Journal of Kidney Diseases, Vol 42, No 5 (November), 2003: E22It has long been known that accelerated ketone production following fasting is seen in normal pregnancy. Nutritional deficiency, starvation, and malnutrition. The ICD-10-CM code E889 might also be used to specify conditions or terms like abnormal. 5 may differ. 1. 3 - other international versions of ICD-10 K43. Recently a single case of a pregnant patient with severe acidosis was reported in association with muscular dystrophy [ 26 ]. 8 became effective on October 1, 2023. This means that in all cases where the ICD9 code 728. 2 may differ. Generally starvation ketoacidosis is less severe (that is, bicarb is normally >16). 2 The. Introduction. Starvation ketosis shares a similar mechanism, which can occur even in healthy individuals without diabetes . org] Difficulties concentrati. 641 may differ. E10. A condition in which the blood is too acidic. Starvation ketosis is generally caused by fasting, eating. 10 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. It shifts metabolism to more closely resemble the fasting state. ICD-10-CM Diagnosis Code E10. L85. 3 became effective on October 1, 2023. 81 is the appropriate modern ICD10 code. starvation ketosis icd 10. Typical patients are usually chronic drinkers who are unable to tolerate oral nutrition for a 1 to 3 day period. G40. Starvation ketoacidosis can also precipitate euglycemic DKA. Mild ketoacidosis develops in normal individuals during starvation. google. Ketosis results from restriction of carbohydrate usage with increased reliance on fat oxidation for energy production. 2020-0012 Case presentation Here are the cases of two patients presenting on the acute medical take at a district general hospital. A Case of Euglycemic Diabetic Ketoacidosis Triggered by a Ketogenic Diet in a Patient With Type 2 Diabetes Using a Sodium-Glucose Cotransporter 2 Inhibitor. Unlisted evaluation and management service [when specified as services related to ketogenic diet] ICD-10 Diagnosis . This condition is called ketoacidosis. . (starvation ketosis); however, serum bicarbonate concentration of less than 18 or hyperglycemia will be rarely present. e. It is the most extreme form of malnutrition. Case report: A 53-year-old female presented after starting a low-carbohydrate ketogenic diet for weight loss. Of the three major ketone bodies, acetoacetic acid is the only true ketoacid. 0). ketosis Mar 19,. This is the American ICD-10-CM version of T73. , blood pH is low (less than 7. It means "not coded here". 3, serum bicarbonate less than 18 mEq/L) and ketonemia. ketone levels. ICD-10-CM Code for Alcohol dependence with alcohol-induced psychotic disorder with hallucinations F10. With starvation ketosis, your tissues begin to breakdown and the byproducts of this ketabolism are called ketones, which actually aggravate nausea. However, while mild ketosis generally develops after 12 to 14 hours of fasting, starvation ought to persist for a minimum duration of 20-30 days before the blood ketone concentrations rise to 8-10. liver during the time of glucose deficiency. This link between SKA and. Growth of a downy layer of hair called lanugo all over the body, including the face. 7861/clinmed. Starvation Ketosis Icd 10. Reduced grip strength: measurably reduced. 5 mM, with low and stable levels of insulin and blood glucose. Placental production of hormones, including glucagon and human placental lactogen, leads to the insulin resistance that is seen in pregnancy, which in turn increases susceptibility to ketosis particularly in the third trimester. Unlisted evaluation and management service [when specified as services related to ketogenic diet] ICD-10 Diagnosis . Of course, you have a source of protein in your body already: your own muscles. 9 should only be used for claims with a date of service on or before September 30, 2015. The 2024 edition of ICD-10-CM K29. This effect is often described as the goal of the ketogenic diet: to take in minimal carbohydrates so the body must metabolize its own fat stores for energy, thus leading to weight loss. In this case report, we discuss two patients presenting with a starvation ketoacidosis and. . 17. Briefly, absolute insulin deficiency leads to reduced glucose utilization and enhanced lipolysis; increased delivery of free fatty acids (FFAs) to the liver coupled with. Ketosis is usually mild (HCO 3 − ≥ 14 mEq/L) and serum glucose is usually normal. It also compares and contrasts starvation ketoacidosis with other forms of ketoacidosis. The ketogenic diet, characterized by high fat and low carbohydrate consumption, can lead to weight loss. Starvation Ketosis Icd 10. Toth HL, Greenbaum LA. Starvation ketoacidosis (SKA) represents one of three raised anion gap metabolic acidoses caused by the accumulation of ketone bodies in the blood stream. Another type of dangerous situation is called Hyperglycemic hyperosmolar nonketotic syndrome (HHNS). If the results are not consistent with HAE consider other. 604 Trauma to the skin, subcutaneous tissue and breast with mcc; 605 Trauma to the skin, subcutaneous tissue and breast without mcc; 963 Other multiple significant trauma with. If unchecked, metabolic acidosis leads to acidemia, i. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 09 [convert to ICD-9-CM] Other disorders of plasma- protein metabolism, not elsewhere classified. org] Difficulties concentrati. ketosis Dec 23, 2022. This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code. E11. increased urination. The 2024 edition of ICD-10-CM M62. 0XXA - other international versions of ICD-10 T73. The following code (s) above N30. 1 The condition often comes with unpleasant symptoms, such as nausea, vomiting, and abdominal pain. 988 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. . Patients with ketosis resulting from prolonged starvation have only a mild degree of acidemia, since the rate of ketoacid removal by the brain and kidney matches the rate of hepatic ketoacid. Applicable To. Look at other dictionaries: starvation acidosis — a type of metabolic acidosis produced by. Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable. (This quantity will not address patients' nutritional needs; see the NICE guideline on nutrition support in adults. 5 (1974): 433-439. 2 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 5 may differ. Starvation Ketosis Icd 10. Metformin helps control Hormones are molecules released by a group of cells in the body that influence the behavior of. ketosis Dec 27, 2022. It occurs when your body starts using fat as its main fuel source due to limited access to glucose, or blood sugar, typically caused by starvation, fasting, or following a very low carb diet ( 1 ). Called also starvation. 1 Additional Info; 2 Alternate ICD10s to consider coding instead or in addition; 3 Candidate Combined ICD10 codes; 4 Related Articles; Additional Info. The increase in lactate production is usually caused by impaired tissue oxygenation, either from decreased oxygen delivery or a defect in mitochondrial oxygen utilization. Electrolyte abnormalities (in many women) As dehydration progresses, it can cause tachycardia and hypotension. While easily treated, it is a diagnosis that can be easily missed in patients with an unexplained metabolic acidosis. 10 may differ. Popular Articles. . -) 896 Alcohol, drug abuse or dependence without rehabilitation therapy with mcc. 89. 10 - Icd 10 Code For Type 1 Diabetes Mellitus With Ketoacidosis Without Coma. Read chapter 4-12 of Symptom to Diagnosis: An Evidence-Based Guide, 4e online now, exclusively on AccessMedicine. 290 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Following a ketogenic diet without a gallbladder can pose complications because of the body’s inability to adequately secrete bile to break down fatty meals. The 2024 edition of ICD-10-CM E10. After a few days starvation, the ketone production ramps up, and you become increasingly reliant on them for energy. irregular, deep, and rapid breathing (Kussmaul’s sign) loss of appetite. [2] Consciousness is generally normal. 1-3 The KD is a high fat, low carbohydrate medical nutrition therapy designed to mimic the fasting state with the goal of inducing ketosis by using fat for energy. AccessMedicine is a subscription-based resource from McGraw Hill that features trusted medical content from the best minds in medicine. Drug/chem diabetes mellitus w ketoacidosis w/o coma; Drug induced diabetes with ketoacidosis; Hyperosmolarity without coma due to drug induced diabetes mellitus. 129 - other international versions of ICD-10 F10. 1, including coding notes, detailed descriptions, index cross-references and ICD-10-CM conversion. Case Report. Fasting for a long time can cause the body to burn fat stores for energy and increase the production of. Mild starvation ketosis can occur after fasting for 12–14 hours or longer. ABSTRACT. . -) (ak-tin-ik ker-a-toe-sis) a. 5 became effective on October 1, 2023. . E86. Insulin is a key mediating factor in the pathophysiology of refeeding as it stimulates cellular uptake of phosphate. [ 1, 2, 3] The diagnosis of AKA requires arterial blood gas (ABG). 1 mmol/L Overnight Fast: 0. Electronic medical records of adults (age ≥18 years) with type 1 diabetes who are followed at the Barbara Davis Center for Diabetes and seen in the ED with a DKA diagnosis (based on ICD-10 codes) between January 2016 and January 2021 were retrieved. 89 and its subcodes. Abscessogram for icd-10-pcs procedures; Ask Dr. 10 [convert to ICD-9-CM] Drug or chemical induced diabetes mellitus with ketoacidosis without coma. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Chernow B, Finton C, Rainey TG, O'Brian JT. A presumptive diagnosis is made by documenting a low blood sugar in. 1. Metabolic disorders ICD-10-CM Code range E70-E88 The ICD-10 code range for ICD-10 Metabolic disorders E70-E88 is medical classification list by the World Health Organization WHO. All popular diabetes questions answered. twitter. Starvation Ketoacidosis Mechanism. While easily treated, it is a. Patient 1 A 28-year-old man was found on the floor by his mother soakedCase report: A 53-year-old female presented after starting a low-carbohydrate ketogenic diet for weight loss. This is the American ICD-10-CM version of E10. Fasting ketosis and alcoholic ketoacidosis will be reviewed here. Should blood glucose fall below 14 mmol/L (250 mg/dL), 10% glucose should be added to allow for the continuation of fixed-rate insulin infusion. . 0XXA is an initial encounter code, includes a 7th character and should be used while. The main fuel for the body is a sugar. ketone levels. The ‘Ketogenic Menu’. Starvation Ketosis Icd 10. ketosis Mar 14, 2020. Diabetes with Ketoacidosis. Hyperammonemia can result from various congenital and acquired conditions in which it may be the principal toxin. T73. 10 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. So you want to get into Ketosis in 24 hours? This is not as simple as some people think but it certainly is possible. Euglycemic DKA thus poses a challenge to physicians, as patients presenting with normal BG levels in ketoacidosis may be overlooked, leading to a delay in appropriate management strategies. 0 - other international versions of ICD-10 E86. 4. " Diabetes 24. slow movement. Ketosis. Short description: Diabetes due to underlying condition w hypoglycemia w coma The 2018 edition of ICD-10-CM E08. This paper reviews the current literature on EDKA, including its epidemiology, pathophysiology, clinical presentation, diagnosis, and management. 2 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. It searches only titles, inclusions and the index and it works by starting to search as you type and provide you options in a dynamic dropdown list. Z68. Its long-term effects are not clear but some have suggested. Diabetic Ketoacidosis-. ICD-9-CM and ICD-10-CM classifies "non-severe" malnutrition as "unspecified," meaning the provider would have to document "moderate malnutrition" to. Type 2 Diabetes Mellitus With Unspecified Diabetic Retinopathy Without Macular Edema. 10 may differ. The ketogenic diet causes the body to let go of excess water during the first few days, which can cause Lithium to become more concentrated in the blood, potentially rising to uncomfortable or even toxic levels. 9 However, women can present with starvation ketoacidosis, particularly following vomiting or reduced oral intake in the third trimester. An anion gap metabolic acidosis with ketosis and electrolyte abnormalities are usually present on laboratory evaluation. 0XXA coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code. 65) be reported in addition to the code for diabetes. Any acute illness that can cause an. significant metabolic ketoacidosis. E88. Short description: Type 1 diabetes mellitus with diabetic neuropathy, unsp This is the American ICD-10-CM version of E10. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). 988 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Growth of a downy layer of hair called lanugo all over the body, including the face. Protein - calorie malnutrition of moderate and mild degree. Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable. The primary differential diagnosis for hyperglycemia is hyperosmolar hyperglycemic state (Table 23,20), which is discussed in the Stoner article21 on page 1723 of this issue. . Management includes fluid resuscitation, glucose and vitamin supplementation, electrolyte repletion, and evaluation for other. 290 may differ. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. twitter. Alcohol induced encephalopathy; Alcohol induced minor neurocognitive disorder; Alcohol-induced pancreatitis; Alcoholic encephalopathy; Alcoholic ketoacidosis; Alcoholic pancreatitis; Cardiomyopathy due to cobalt; Cobalt. e. ketosis Jan 3, 2023. 10. This is the American ICD-10-CM version of K43. 5 - other international versions of ICD-10 Z46. Bowel obstruction or intestinal obstruction is a mechanical or functional obstruction of the intestines, preventing the normal transit of the products of digestion. Ketonuria is common in people who follow the keto diet. . ICD-10-CM Diagnosis Code F10. 988 [convert to ICD-9-CM] Alcohol use, unspecified with other alcohol -induced disorder. 0XXA for Starvation, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external. 35) due to increased production of hydrogen ions by the body or the ina. 2 - other international versions of ICD-10 E16. 8 Other specified metabolic disorders which is the default code at Lead term Ketosis. Alcoholic ketoacidosis arises as a result of malnutrition brought on by an episode of heavy alcohol use, typically in adults between the ages of 20 and 60 who frequently binge drink (though it can affect adults of any age). The following code (s) above E10. Applicable To. Diabetes Forum The Global Diabetes Community Find support, ask questions and share your experiences. Type 1 Diabetes Mellitus With Ketoacidosis Without Coma. HZ91ZZZ Pharmacotherapy for Substance Abuse Treatment, Methadone Maintenance. Alcohol induced encephalopathy; Alcohol induced minor neurocognitive disorder; Alcohol-induced pancreatitis; Alcoholic encephalopathy; Alcoholic ketoacidosis; Alcoholic pancreatitis; Cardiomyopathy due to cobalt; Cobalt. "Physiologic mechanisms in the development of starvation ketosis in man. 3, serum bicarbonate less than 18 mEq/L) and. The most common cause of ketoacidosis is diabetic ketoacidosis. 10 - other international versions of ICD-10 E10. An appreciation of these processes can provide the clinician better insight into many clinical conditions characterized by ketoacidosis. Hyperemesis gravidarum is the most severe form of nausea and vomiting in pregnancy. DKA results from a shortage of insulin; in. 213A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 5 became effective on October 1, 2023. ketosis Jan 3, 2023. Inadequate oxygen delivery (“type A hyperlactatemia”). F10. Fruity smelling breath. 10. Icd 10 Code For. 251 ICD-10 code F10. Please note this question was answered in 2016. Get crucial instructions for accurate ICD-10-CM E03. Applicable To. 810 became effective on October 1, 2023. This was previously reported with code E13. 32 - other international versions of ICD-10 E71. The possible role of bicarbonate therapy. ketosis Apr 23, 2018. 1. R82. Euglycemic diabetic ketoacidosis (DKA, EDKA) is a clinical syndrome occurring both in type 1 (T1DM) and type 2 (T2DM) diabetes mellitus characterized by euglycemia (blood glucose less than 250 mg/dL) in the presence of severe metabolic acidosis (arterial pH less than 7. CPT Codes / HCPCS Codes / ICD-10 Codes; Code Code Description;. 3 may differ. doi: 10. 5 The unnecessary addition of exogenous insulin could worsen the risk of this life-threatening condition. A 58-year-old male with past medical history of type. ICD-10-CM E88. The “starvation” part of the name owes to the fact that, in most cases, people only use ketones for energy when they aren’t getting adequate glucose from food. This is the American ICD-10-CM version of Z68. ICD-10-CM Diagnosis Code Q21. 10 became effective on October 1, 2023. 988 [convert to ICD-9-CM] Alcohol use, unspecified with other alcohol -induced disorder. 89 and its subcodes. 12 should only be used for claims with a date of service on or before September 30, 2015. DKA is an acute metabolic complication of diabetes that is potentially fatal and requires prompt medical attention for successful treatment.