Most internists are taught the three most common causes of hospitalization for diabetic ketoacidosis (DKA) are infection, infection, infection. In clinical reality, the three most likely causes of hospitalization for DKA are didn't take insulin, didn't take insulin and didn't take insulin. With ICD-9, E15.1 could be used to code DKA Hospitalization Due to Noncompliance. With ICD-10 coding rules, didn't take insulin is not specific enough to code the cause of DKA hospitalization. The new ICD-10 codes provide a much more detailed look at the causes of DKA leading to hospitalization and will hopefully allow healthcare agencies an enormous amount of your personal data to improve public health.
1) I forgot to take my insulin because I was Playing Pokemon GO. (E15.1)
2) I forgot to take my insulin because I was twerking and puking all night. (E15.2)
3) I didn't to take my insulin because I was was nauseated and had abdominal pain and I was light headed and I wasn't eating and I didn't know what my sugar was. (E15.3)
4) I didn't take my insulin because I didn't f**king feel like it. (E15.4)
5) I ran out of my insulin and couldn't even afford to buy a pack of cigarettes and I didn't have a friend to bum a bottle of insulin off of. (E15.5)
6) I told everyone at the hospital I took my insulin just like I was supposed to but I actually haven't taken it for a week because I didn't f**king feel like it. (E15.4.6)
7) Whether I took my insulin or not is none of your business and can I have some Dilaudid and a bag of Cheetos for my abdominal pain? (E15.7)
8) I didn't take my insulin because the doctor who told me seven years ago I had diabetes didn't know what they were talking about. (E15.8)
9) I didn't take my insulin because this sh*tty hospital wouldn't give me free insulin to take home when I was hospitalized last week. (E15.9)
10) DKA hospitalization unknown because the childlike adolescent in their upper 20's who lives with their enabling parents refused to talk, gave nasty faces and slept with their boyfriend/girlfriend every night and then left AMA after eating a hearty breakfast. (E15.10)
With ICD-10 exposing the top 10 causes of DKA hospitalization, make sure to provide insight for other readers with your experiences as well. In the interest of public safety, please leave your experience with the causes of DKA hospitalization in the comments below so other healthcare professionals can gain a greater understanding of what to be on the lookout for when frequent flyer DKA patients come to the ER for hospitalization.
"So you have another DKA hospitalization this month. Tell me again how you took all your insulin and have no idea why this happened, again."
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TOP 10 CAUSES OF DKA HOSPITALIZATION (ICD-10 CODES)
1) I forgot to take my insulin because I was Playing Pokemon GO. (E15.1)
2) I forgot to take my insulin because I was twerking and puking all night. (E15.2)
3) I didn't to take my insulin because I was was nauseated and had abdominal pain and I was light headed and I wasn't eating and I didn't know what my sugar was. (E15.3)
4) I didn't take my insulin because I didn't f**king feel like it. (E15.4)
5) I ran out of my insulin and couldn't even afford to buy a pack of cigarettes and I didn't have a friend to bum a bottle of insulin off of. (E15.5)
6) I told everyone at the hospital I took my insulin just like I was supposed to but I actually haven't taken it for a week because I didn't f**king feel like it. (E15.4.6)
7) Whether I took my insulin or not is none of your business and can I have some Dilaudid and a bag of Cheetos for my abdominal pain? (E15.7)
8) I didn't take my insulin because the doctor who told me seven years ago I had diabetes didn't know what they were talking about. (E15.8)
9) I didn't take my insulin because this sh*tty hospital wouldn't give me free insulin to take home when I was hospitalized last week. (E15.9)
10) DKA hospitalization unknown because the childlike adolescent in their upper 20's who lives with their enabling parents refused to talk, gave nasty faces and slept with their boyfriend/girlfriend every night and then left AMA after eating a hearty breakfast. (E15.10)
With ICD-10 exposing the top 10 causes of DKA hospitalization, make sure to provide insight for other readers with your experiences as well. In the interest of public safety, please leave your experience with the causes of DKA hospitalization in the comments below so other healthcare professionals can gain a greater understanding of what to be on the lookout for when frequent flyer DKA patients come to the ER for hospitalization.
"So you have another DKA hospitalization this month. Tell me again how you took all your insulin and have no idea why this happened, again."
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