2025 ICD-10-CM code E08.649
(Active) Effective Date: N/A Endocrine, Nutritional and Metabolic Diseases - Diabetes mellitus due to underlying condition 4 Feed
Diabetes mellitus due to an underlying condition with hypoglycemia, but without coma.
The medical necessity for treating this condition rests on the presence of both diabetes and the causal underlying condition.The hypoglycemia indicates a need for intervention to prevent serious consequences.The underlying condition must be addressed as well, as it's the root cause of the diabetes.
The clinician needs to diagnose and treat both the diabetes and the underlying condition that's causing it. This often involves a multidisciplinary approach, including endocrinologists, primary care physicians, and other specialists depending on the root cause.Regular monitoring of blood glucose levels is crucial.
In simple words: This means the patient has diabetes caused by another health problem. Their blood sugar gets too low sometimes, but they haven't become unconscious from it. The other health problem needs to be diagnosed and treated too.
This code signifies a patient's diabetes mellitus stemming from a separate underlying health condition, accompanied by hypoglycemia (low blood sugar) but not to the extent of causing a coma.It's essential to also code the underlying condition causing the diabetes.
Example 1: A patient with cystic fibrosis (E84.-) experiences recurring episodes of hypoglycemia and is diagnosed with diabetes mellitus.Both conditions are actively managed., A patient receiving chemotherapy for pancreatic cancer (C25.-) develops diabetes and experiences hypoglycemia requiring glucose monitoring and dietary adjustments., A patient with Cushing's syndrome (E24.-)develops diabetes mellitus and experiences hypoglycemic episodes. Both the Cushing's syndrome and the diabetes are treated.
Documentation should clearly state the diagnosis of diabetes mellitus, the underlying condition causing it, and the presence of hypoglycemia. Any associated symptoms, lab results (blood glucose, HbA1c), and treatment plans should also be documented.
- Payment Status: Active
- Specialties:Endocrinology, Internal Medicine, Family Medicine, Oncology (depending on underlying cause)
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Home, Skilled Nursing Facility