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Topic Title: Non Ketotic hyperosmolar hyperglycemia (NKHH)
Topic Summary: What is the ICD-9 code ?
Created On: 11/24/2008 05:50 PM

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 11/24/2008 05:50 PM
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SandyF

Posts: 29
Joined: 09/13/2005

I see codes for hyperosmolar coma 250.2 or hyperglycemic coma 250.3, but none for NKHH? Any suggestions.
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 11/25/2008 01:26 PM
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ERIN

Posts: 532
Joined: 08/14/2005

Start with the index: Coma / hyperosmolar (diabetic)(nonketotic) 250.2. The "nonketotic" is in parentheses so is a nonessential modifier. Checking the code 250.2 in the tabular, you will see that it includes "Hyperosmolar (nonketotic) coma." Then of course assign the appropriate 5th digit.

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"To err is human--and to blame it on a computer is even more so." - Robert Orben
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 11/25/2008 01:42 PM
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SandyF

Posts: 29
Joined: 09/13/2005

My question really was not how to find the coma codes, I did that. Question was are those the correct codes to use ? Is NKHH the same disorder as the hyperosmolar coma ? I could not figure that out by googling.
Thanks
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 11/26/2008 11:20 AM
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ERIN

Posts: 532
Joined: 08/14/2005

Sorry my post wasn't of any help to you, but perhaps it would have been clearer if you had stated the meaning of the abbreviation NKHH as Non-Ketosis Hyperosmolar Hyperglycemia. I wasn't aware of what NKHH meant either until I googled it. So you are wondering if you should use 250.2x or 250.3x? I think I would still go with 250.2x. The description of category 250.2 is "Diabetes with hyperosmolarity" and it includes hyperosmolar (nonketotic) coma; whereas category 250.3 (Diabetes with other coma) includes diabetic coma (with ketoacidosis) and diabetic hypoglycemic coma. That rules out 250.3x for me anyway.

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"To err is human--and to blame it on a computer is even more so." - Robert Orben
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