2025 ICD-10-CM code E10.649
(Active) Effective Date: N/A Diabetes Mellitus - Hypoglycemia without coma 4: Endocrine, Nutritional and Metabolic Diseases (E00-E89) Feed
Type 1 diabetes mellitus with hypoglycemia without coma. This condition involves a chronic autoimmune disease where the pancreas doesn't produce enough insulin, leading to low blood sugar levels (hypoglycemia) without loss of consciousness.
Medical necessity for managing hypoglycemia in type 1 diabetes is established by the patient's low blood glucose level and associated symptoms, which can lead to severe complications if left untreated.
Clinicians should evaluate and manage hypoglycemia in type 1 diabetes patients, addressing potential causes such as excessive insulin/medication, skipped meals, or strenuous exercise. Symptoms may include shivering, dizziness, headache, irritability, and personality changes. General type 1 diabetes symptoms include frequent urination and thirst, extreme hunger, fatigue, weight loss, and recurring infections. Diagnosis involves history, physical exam, and lab tests like glucose tolerance tests, plasma glucose, HbA1c, CBC, lipid panel, urine analysis, and antibody tests. Management focuses on blood glucose control through insulin therapy, diet, blood sugar monitoring, and potentially insulin pumps.
In simple words: This code describes someone with type 1 diabetes who has low blood sugar but is not unconscious. Type 1 diabetes is a disease where the body doesn't make enough insulin, which is needed to control blood sugar levels. When blood sugar gets too low, it's called hypoglycemia.
Type 1 diabetes mellitus with hypoglycemia without coma refers to a chronic autoimmune disease caused by the destruction of pancreatic beta cells, preventing the pancreas from producing enough insulin. Insulin is the primary hormone that enables the body to use glucose. Hypoglycemia is diagnosed when blood sugar drops below 70 mg/dL (3.9 mmol/L), while levels below 50 mg/dL can result in coma. This code is used when a patient presents with hypoglycemia but remains conscious.
Example 1: A 15-year-old with type 1 diabetes presents with shakiness, sweating, and confusion after intense soccer practice. Blood glucose is 55 mg/dL. The patient is treated with oral glucose and recovers quickly. E10.649 is appropriate as the patient experienced hypoglycemia without coma., A 30-year-old with type 1 diabetes experiences dizziness and weakness after skipping breakfast. Blood glucose is 60 mg/dL. The patient consumes juice and symptoms resolve. E10.649 is coded due to the hypoglycemia episode without coma., A 60-year-old with long-standing type 1 diabetes and neuropathy reports feeling lightheaded and weak. Blood glucose is measured at 68 mg/dL. The patient is advised to eat a snack, and symptoms improve. E10.649 accurately describes the hypoglycemic event without coma.
Documentation should include blood glucose levels, symptoms experienced, treatment administered, and any contributing factors like missed meals, excessive exercise, or medication adjustments. Complete patient history and physical exam findings related to diabetes should also be documented.
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- Specialties:Endocrinology, Internal Medicine, Family Medicine, Pediatrics
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