Diffusion.
diffusion is passive, and the oxygen and carbon dioxide move to the area of lower concentration
Chapter 4: Endocrine, Nutritional, and Metabolic Diseases (E00-E89). Diabetes mellitus codes falls within the code range E08-E13. These chapter-specific diabetes guidelines contain six primary criteria:
Type of diabetes
Type of diabetes mellitus not documented
Diabetes mellitus and the use of insulin and oral hypoglycemic
Diabetes mellitus in pregnancy and gestational diabetes
Complications due to insulin pump malfunction
(a) Underdose of insulin due to insulin pump failure
(b) Overdoes of insulin due to insulin pump failure
Secondary diabetes mellitus
(a) Secondary diabetes mellitus and the use of insulin or oral hypoglycemic drugs
(b) Assigning and sequencing secondary diabetes codes and causes
(i) Secondary diabetes mellitus due to pancreatectomy
(ii) Secondary diabetes due to drugs
New revisions for 2018 are the following two sections (3 and 6) for the coding of diabetes (the bolded wording represents the additions/revisions for FY2018):
3) Diabetes mellitus and the use of insulin and oral hypoglycemics
If the documentation in a medical record does not indicate the type of diabetes but does indicate that the patient uses insulin, code E11-, Type 2 diabetes mellitus, should be assigned. An additional code should be assigned from category Z79 to identify the long-term (current) use of insulin or oral hypoglycemic drugs. If the patient is treated with both oral medications and insulin, only the code for long-term (current) use of insulin should be assigned. Code Z79.4 should not be assigned if insulin is given temporarily to bring a type 2 patient’s blood sugar under control during an encounter.
6) Secondary diabetes mellitus
Codes under categories E08, Diabetes mellitus due to underlying condition, E09, Drug- or chemical-induced diabetes mellitus, and E13, Other specified diabetes mellitus, identify complications/manifestations associated with secondary diabetes mellitus. Secondary diabetes is always caused by another condition or event (e.g., cystic fibrosis, malignant neoplasm of pancreas, pancreatectomy, adverse effect of drug, or poisoning).
(a) Secondary diabetes mellitus and the use of insulin or oral hypoglycemic drugs
For patients with secondary diabetes mellitus who routinely use insulin or oral hypoglycemic drugs, an additional code from category Z79 should be assigned to identify the long-term (current) use of insulin or oral hypoglycemic drugs. If the patient is treated with both oral medications and insulin, only the code for long-term (current) use of insulin should be assigned Code Z79.4 should not be assigned if insulin is given temporarily to bring a type 2 patient’s blood sugar under control during an encounter.
<span>Stress disrupts the body's systems. It inhibits the body's ability to resist illness. Without a return to homeostasis our body stays in an "alarmed" condition and becomes exhausted and more likely to cave in to diseases including heart disease, cancer, chronic headaches, ulcers, and depression among others.</span>
Answer:
<u>Symptoms:</u>
There are several types of bipolar and related disorders. They may include mania or hypomania and depression. Symptoms can cause unpredictable changes in mood and behavior, resulting in significant distress and difficulty in life.
<em>Bipolar I disorder.</em> You've had at least one manic episode that may be preceded or followed by hypomanic or major depressive episodes. In some cases, mania may trigger a break from reality (psychosis).
<em>Bipolar II disorder</em>. You've had at least one major depressive episode and at least one hypomanic episode, but you've never had a manic episode.
<em>Cyclothymic disorder.</em> You've had at least two years — or one year in children and teenagers — of many periods of hypomania symptoms and periods of depressive symptoms (though less severe than major depression).
<em>Other types.</em> These include, for example, bipolar and related disorders induced by certain drugs or alcohol or due to a medical condition, such as Cushing's disease, multiple sclerosis or stroke.
Bipolar II disorder is not a milder form of bipolar I disorder, but a separate diagnosis. While the manic episodes of bipolar I disorder can be severe and dangerous, individuals with bipolar II disorder can be depressed for longer periods, which can cause significant impairment.
Although bipolar disorder can occur at any age, typically it's diagnosed in the teenage years or early 20s. Symptoms can vary from person to person, and symptoms may vary over time.
