HONK- Hyperosmolar Non-Ketotic Acidosis

casey.thorn@kindred.comcasey.thorn@kindred.com
in Home Care Coding General
Has anybody came across a code for this or do you know how to code this? This is the first time I have seen this.

Comments

  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited April 2017
    HONK is an older name for HHS, Hyperosmolar Hyperglycemic State (HHS). HONK stands for hyperosmolar non-ketotic coma.
    This is a very acute state for a type II diabetic with extremely high blood sugars in severe dehydration (hyperosmolar state) and without spilling ketones (non-ketotic).
    Treatment is supportive, in ICU setting with an insulin drip and IV fluids.
    E11.00 is your code

    Nancy Wolverton RN,CCM
    QR Specialist, Central Office
    5800 West 10th St., Suite 300
    Little Rock, AR. 72205
    Ph# 501-280-4913
    Fax# 501-280-4385
    Nancy.Wolverton@arkansas.gov
  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited April 2017
    Good call Beth.
    That was a booger to code wasn’t it?

    Nancy Wolverton RN,CCM
    QR Specialist, Central Office
    5800 West 10th St., Suite 300
    Little Rock, AR. 72205
    Ph# 501-280-4913
    Fax# 501-280-4385
    Nancy.Wolverton@arkansas.gov
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