J02.0 - Streptococcal pharyngitis

Clinical Definition

A diabetic coma is a life-threatening condition where severely high or low blood glucose levels lead to unconsciousness in a patient with diabetes mellitus. It encompasses three distinct types: DKA (Diabetic Ketoacidosis), HHS (Hyperosmolar Hyperglycemic State), and hypoglycemic coma.

Documentation Requirements

• Type of diabetes (Type 1 or Type 2) must be specified

• Must document loss of consciousness/coma

• Blood glucose levels at presentation

• Presence/absence of ketones (for DKA)

• Serum osmolality (for HHS)

• Document any precipitating factors

• Whether diabetes was previously controlled/uncontrolled

• Associated complications if present

Common Synonyms

• Sugar shock

• Diabetic shock

• Insulin shock

• Diabetic unconsciousness

• Blood sugar blackout

Coding Conflicts

Excludes1:

• Hypoglycemic coma without diabetes

• Drug-induced coma

• Hyperglycemia without mention of coma

Excludes2:

• Transient loss of consciousness (R55)

• Altered mental status without coma (R41.82)

Scribing.io Automation

Our AI scribe automatically:

• Flags terms like "unresponsive diabetic" or "diabetic unconsciousness"

• Captures glucose values from lab results

• Identifies ketone levels and osmolality readings

• Links precipitating events to the episode

• Tracks duration of unconsciousness

• Highlights diabetes type from past medical history

• Creates structured documentation templates specific to diabetic coma cases

Remember: The AI needs three key elements to properly code: confirmed diabetes diagnosis, documented unconsciousness, and supporting laboratory values.