2025 ICD-10-CM code E13.649
A form of diabetes not otherwise specified, characterized by abnormally low blood sugar (hypoglycemia) without loss of consciousness (coma).
Medical necessity is established by the confirmation of hypoglycemia and the associated symptoms in a patient with diabetes when other causes are excluded.
Clinicians should diagnose based on patient history, physical examination, and symptoms. Lab tests like fasting plasma glucose, HbA1c, lipid profile, urine, and stool analysis are essential. Imaging tests (X-ray, abdominal ultrasound) may be needed to assess the pancreas. Treatment includes blood sugar management, glucagon for acute hypoglycemia, and non-insulin or insulin therapies for underlying diabetes.
In simple words: This refers to a type of diabetes where the body has trouble managing blood sugar, leading to periods of both high and low blood sugar.Specifically, this code signifies that the low blood sugar event didn't cause a loss of consciousness.
Other specified diabetes mellitus with hypoglycemia without coma refers to a condition where the body doesn't produce or use insulin effectively, leading to high blood sugar levels followed by significantly low blood sugar (hypoglycemia), but the individual remains conscious. This code is used when the specific type of diabetes with hypoglycemia isn't described by another ICD-10-CM code.
Example 1: A patient with a history of diabetes presents with dizziness, sweating, and confusion, but remains conscious. Blood glucose confirms hypoglycemia. No other cause of hypoglycemia is found, and the specific diabetes type isn't established, making E13.649 appropriate., A patient post-pancreatectomy experiences fluctuating blood sugar levels including episodes of hypoglycemia without loss of consciousness. Other causes for hypoglycemia are ruled out, so E13.649 is applied., A patient on medication for diabetes develops symptoms of hypoglycemia, confirmed by low blood sugar levels. The patient doesn't lose consciousness. If the specific diabetes type isn't clearly defined after investigation and other causes are excluded, E13.649 is used.
Documentation should specify the presence of hypoglycemia, absence of coma, the exclusion of other causes, and any relevant details related to the patient's diabetes history and management.
- Specialties:Endocrinology, Internal Medicine, Family Medicine
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office, Home, Skilled Nursing Facility, Nursing Facility