Final answer:
The patient is likely suffering from gastroparesis, a condition in which the stomach muscles do not function properly. This condition is commonly seen in patients with Type 2 diabetes. The ICD-10-CM code for this diagnosis is E11.43.
Step-by-step explanation:
The patient's symptoms of extreme abdominal bloating and discomfort after eating, along with constant heartburn, suggest the diagnosis of gastroparesis due to the patient's Type 2 diabetes. Gastroparesis is a condition where the stomach muscles do not function properly, leading to delayed stomach emptying. In this case, the patient's diabetes is the underlying cause of gastroparesis.
Type 2 diabetes is a common form of diabetes characterized by insulin resistance and impaired insulin secretion. It can lead to numerous complications, including gastroparesis. The patient's blood sugar level of 178 mg/dL and A1C of 8.2% indicate poor glycemic control and further support the diagnosis of gastroparesis. To code the ICD-10-CM diagnosis, we would use the code E11.43 for the patient's Type 2 diabetes with gastroparesis. This code indicates a diabetic complication involving the gastrointestinal system.