ICD-10-CM E88. Hypoglycemia remains a limiting factor in the optimal treatment of type 1 diabetes (T1D). 64X 6th character required: E11. 3, 251. KH is referenced in the Human Phenotype Ontology (HPO) as HP:0012734, a sign of other known rare. Hypoglycemia unawareness (HU) is defined at the beginning of neuroglycopenia prior to the appearance of autonomic warning symptoms. FGM using the Freestyle Libre system revealed hypoglycemia lasting almost 24 hours with evident hypoglycemia unawareness (Fig. The rates of any type of hypoglycemia are ∼50. 2 [convert to ICD-9-CM] Hypoglycemia, unspecifiedOne of the goals of ICD-10 is to better characterize the control of people with diabetes and the specifics of the complications that they are experiencing. A workup for hypoglycemia should be initiated if the. Recurrent episodes of hypoglycemia lead to both a decreased sympathoadrenal response to hypoglycemia and an impaired ability to recognize it (i. 3 (diabetes with other coma) is used for DKA coma, as well as for coma caused by severe hypoglycemia. His hypoglycemia resolved within a day of treatment with steroids. 64X E11. 4239/wjd. The term hypoglycemia literally means "under-sweet blood" (Gr. Diabetes 1 with hypoglycemia unawareness; Diabetes type 1 with hypoglycemia; Hypoglycemia due to type 1. Insulinoma is a rare functioning pancreatic endocrine tumor, typically presenting as a sporadic solitary lesion causing hypoglycemia. Asprosin is a counter-regulatory hormone to insulin which plays a role in fasting. Drug/chem diabetes mellitus w hypoglycemia w coma; Drug induced dm w hypoglycemic coma; Hypoglycemic coma due to drug induced diabetes mellitus. ICD-10-CM Codes. 2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. Hypoglycemia is a common side effect of insulin. This is common amongst persons who have type 1 diabetes, with an annual incidence of severe hypoglycemia ranging from 3. 649 - Type 2 diabetes mellitus with hypoglycemia without coma. Predictors were previous severe hypoglycemia and impaired hypoglycemia awareness or. Location. 52 E11. ICD-10-PCS; New 2024 Codes; Codes Revised in 2024; Codes Deleted in 2024; HCPCS . The most physiological regimen of IT available is continuous subcutaneous insulin infusion with an insulin pump; however, insulin glargine is a useful alternative to pump. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code. 13 Insulin-treated patients with hypoglycemia unawareness, one level 3 hypoglycemic event, or a pattern of unexplained level 2 hypoglycemia should be advised to raise their glycemic targets to strictly avoid hypoglycemia for at least several weeks in order to partially reverse hypoglycemia unawareness and reduce risk of future episodes. 641 with coma, E11. Hypoglycemia is common in people with diabetes, though it tends to occur more often in people with type 1 diabetes. 810 is applicable to maternity patients aged 12 - 55 years inclusive. But if it goes below the healthy range and is not treated, it can get dangerous. 161 results found. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). With the exception of patients with “hypoglycemia unawareness” who do not perceive the symptoms, the neurological manifestations usually occur at plasma glucose. 5%[]. It is often the limiting factor in attempts to achieve euglycemia. 7 episodes per patient per year ( 1 ). 4 - other international versions of ICD-10 R40. ICD-10-CM Diagnosis Code E66. 9 - other international versions of ICD-10 E13. 5. 500 results found. 9 mmol/L]) and serious (<54 mg/dL [<3. 4 may differ. 59-62 These early proof-of-concept studies involved patients with rather short disease duration who at the time were. 1 It is difficult to study in its natural form because of its paroxysmal and unpredictable nature; therefore, well-controlled trials are limited. 641 Diabetes. Feeling irritable or confused. In addition, many studies analyze the frequency of severe hypoglycemia, while non-severe events or even hypoglycemia unawareness can also have significant impact on well-being. In a trial of participants with T2D treated with insulin glargine, hypoglycemia (defined as blood glucose ≤3. Gender may also contribute to risk for. The reduced awareness of, and counterregulatory responses to, hypoglycemia in patients with HAAF lead to worsening. and around the world, affecting an estimated 30. Hypoglycemia unawareness (HU) is defined at the onset of neuroglycopenia before the appearance of autonomic warning symptoms. 2024 ICD-10-CM Range E00-E89. Type 1 diabetes mellitus (E10) Type 1 diabetes mellitus with hypoglycemia (E10. Decreased or impaired awareness of hypoglycemia, commonly referred to as HU, is the development of neuroglycopenic symptoms without first having autonomic. Hypoglycemia alert value (level 1) ≤70 mg/dl (3. Type 1 Excludes. Neonatal obstruction of unspecified nasolacrimal duct. Diabetes 1 with hypoglycemia. Recurrent hypoglycemia can cause impaired awareness of hypoglycemia (IAH), and increase the risk for severe hypoglycemia. 649 With hyperglycemia E10. 174 results found. The study was approved by the University of Colorado institutional review board under the. ICD-10-CM Diagnosis Code E16. doi: 10. North Kansas City, MO. Over time, repeated episodes of hypoglycemia can lead to hypoglycemia unawareness. E10. Both the loss of β cells and an accompanying defect in the α cell response to hypoglycemia predispose patients with T1D to the development o. Over time, repeated episodes of hypoglycemia can lead to hypoglycemia unawareness. ICD-9-CM 251. , emergency department visits or unscheduled primary care visits) related to hypoglycemia and. 64 - other international versions of ICD-10 E11. Search Results. Hypoglycemia: May be life-threatening. In addition, the chance of having an impaired or severely impaired hypoglycemia unawareness decreased with higher age (OR 0. 2 Hypoglycemia, unspecified 962. Codes; Modifiers; License Data Files; Disclaimer; Search Results. It has three main causes: severe low blood sugar, or hypoglycemia; diabetic ketoacidosis (DKA); diabetic hyperosmolar. 5 mmol l −1 or less,. The 2024 edition of ICD-10-CM E11. Recent revisions of hypoglycemia definitions also include glucose levels <54 mg/dL (i. 64 - other international versions of ICD-10 E10. Previous Code: E11. Schematic Diagram of Hypoglycemia-Associated Autonomic Failure (HAAF) in Diabetes. Nondiabetic hypoglycemic coma. ICD-10-CM Diagnosis Code E11. Check your blood sugar level 15 minutes after eating or drinking something to treat your hypoglycemia. Impaired awareness of hypoglycemia was present in 29% of patients. 8–3. Drug induced hypoglycemia; diabetes with hypoglycemia without coma (E09. Her height was 150 cm and weight 42. PBH, including unawareness PBH, remained very common and persisted after more than five years in average. E10. The ICD code E162 is used to code Hypoglycemia. This level matters because glucose is the main source of energy for the cells in your body. Get crucial instructions for accurate ICD-10-CM E16. Previous research found that only 1 in 13 older adults with type 2 diabetes were able to correctly. Look-Ups. They. Hypoglycemia, also known as low blood sugar or low blood glucose, is when blood sugar decreases to below normal levels. 649 ICD-10 code E10. #1. Download Table | ICD-10 codes for hypoglycemia and underlying diseases. Severe hypoglycemia was defined as a diagnosis of patients who required hospitalization or a visit to an emergency department (ED) for treatment with an ICD-9-CM code of 250. The 2024 edition of ICD-10-CM E15 became effective on October 1, 2023. 69 Type 1 diabetes mellitus with other specified complication; E10. Hypoglycemia risk stratification tool with 1 January 2017 baseline (updated with ICD-10-CM case identification). Other potential causes for low blood sugar that occurs during the day or at night include: hot or humid weather. Other specified diabetes mellitus with. Glucagon—a hormone that stimulates the liver to release glucose that is stored in the bloodstream—can be given to help with severe symptoms. Type 1 diabetic patients with hypoglycemia unawareness and impaired counterregulation are more likely to be older, have diabetes of longer duration, and have lower HbA1c 100,101. 64X 6th character required: E11. Such episodes can last 1–12 h (2–6) and, except for disturbed awakening behavior (7,8), frequently appear to be asymptomatic (9,10). 649 [convert to ICD-9-CM] Type 1 diabetes mellitus with hypoglycemia without coma. 1–3 Impaired awareness of hypoglycemia (IAH) is a major risk factor for severe hypoglycemia (SH), 4 episodes in which hypoglycemia-related cognitive impairment renders people unable to. Patients with impaired awareness of hypoglycemia had an earlier onset of diabetes (P < 0. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 81 is a new 2024 ICD-10-CM code that became effective on October 1, 2023. The following code (s) above E10. 500 results found. It is identified by modified Whipple's criteria consisting of neuroglycopenic symptoms, a blood glucose level equal to or less than 40 mg/dL, and relief of symptoms by glucose use. 006) and at their last visit (P = 0. 2. This ICD-10 code is meant to be used on patients confirmed to have Hypoglycemia. Hypoglycemia (low blood sugar); Hypoglycemia post gi surgery; Hypoglycemia unawareness; Hypoglycemic encephalopathy; Loss of hypoglycemic warning; Post gastrointestinal tract surgery hypoglycemia; diabetes with hypoglycemia (E08. Methods This cross-sectional study enrolled 288. A feeling of hunger, sweating, shakiness. You're more likely to be unaware of hypos if you: have type 1 diabetes. However, in the U. Sweating. 64 : E00-E89. 1–3 Impaired awareness of hypoglycemia (IAH) is a major risk factor for severe hypoglycemia (SH), 4 episodes in which hypoglycemia-related cognitive impairment renders people unable to self-treat. [1] Hypoglycemia can be clinically classified according to its timing; it can be fasting, postprandial, or exercise-related. The 2024 edition of ICD-10-CM E10. Hypoglycemia unawareness in patients with type 1 DM has been found to be largely reversible. E13. Drug-induced hypoglycemia without coma. 0 denotes coma with or without ketoacidosis. 638 With hypoglycemia with coma E10. Short description: Hypoglycemia NOS. Short description: Hypoglycemia NOS. E11. Common presenting symptoms include nausea, confusion, tremor, sweating, palpitations, or hunger. 64 : E00-E89. As hypoglycemia worsens, signs and symptoms can include: Confusion, unusual behavior or both, such as the inability to complete routine tasks. In order to achieve optimal glycemic control, intensive insulin regimes are needed for individuals with Type 1 Diabetes (T1D) and insulin-dependent Type 2 Diabetes (T2D). HU occurs in approximately 40% of people with type 1 diabetes mellitus (T1DM) and with less. “Hypoglycemia unawareness” or “impaired awareness of hypoglycemia” occurs when someone doesn’t experience or perceive the symptoms of hypoglycemia, which typically occur when blood sugars fall below 54 mg/dl (3. Search Results. Diabetes type 2 with hypoglycemic coma; Hypoglycemic coma in type 2 diabetes mellitus. Predictors were previous severe hypoglycemia and impaired hypoglycemia awareness or unawareness. 69 Iatrogenic hypoglycemia is the limiting factor in the glycemic control of diabetes. Commonly co‐existing with IAH is the attenuation or loss of sympathoadrenal mechanisms, which limits the. Showing 1-25: ICD-10-CM Diagnosis Code E16. KH is referenced in the Human Phenotype Ontology (HPO) as HP:0012734, a sign of other known rare. Short description: Hypoglycemia NOS. 4 became effective on October 1, 2023. 3 In addition to glucose-lowering agents, many commonly used non-antidiabetic. 9 became effective on October 1, 2023. hypoglycemia unawareness is loss of the warning, almost exclusively neurogenic symptoms of developing hypoglycemia that previously prompted the individual to act (e. Five years after initiation of insulin therapy, the rate of severe hypoglycemia is reported to be as high as 35–70 episodes per 100 patient-years, higher than that in type 1 diabetes. Hypoglycemia can produce a variety of symptoms and effects but the principal problems arise from an inadequate. Background. 649 ICD-10 code E11. R40. The following code (s) above E11. Whether use of a hybrid. A search of Orphanet for “idiopathic ketotic hypoglycemia” and “ketotic hypoglycemia” yielded neither an Orpha number, an Online Mendelian Inheritance in Man (OMIM) geno- or phenotype reference number, or an ICD-10 number. 6 ± 1. The distribution of subjects categorized as high, intermediate, or low HRU risk at baseline (1 January 2017) using the ICD-10-CM updated case identification algorithm closely matched the distribution determined in our original validation, which used only ICD-9 codes with a 1 January 2014 baseline (). This is the American ICD-10-CM version of E10. Use Additional. In that series,According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established. Nocturnal hypoglycemia is life threatening for individuals with type 1 diabetes (T1D) due to loss of hypoglycemia symptom recognition (hypoglycemia unawareness) and impaired glucose counter regulation. The total number of hypoglycemic events among insulin-treated T2D, including severe hypoglycemia, is as high or higher than. Treatment & Care Hypoglycemia (Low Blood Glucose) Throughout the day, depending on multiple factors, blood glucose (also called blood sugar) levels will vary—up or down. 618 [convert to ICD-9-CM] Type 2 diabetes mellitus with other diabetic arthropathy. Codes; Modifiers; License Data Files; Disclaimer; Search Results. 649, E13. Background Hypoglycemia affects patient safety and glycemic control during insulin treatment of both type 1 (T1DM) and type 2 diabetes mellitus (T2DM). 55-2. We excluded 3,251 patients not taking any hypoglycemic medication, 13,467 patients with duration of total out-patient visits at FEMH not more than 6 months, 36 patients with no PIN, and 224 patients. Keywords: neuroglycopenic symptoms, hypoglycemia, acute psychotic disorder, hypoglycemia. Severe hypoglycemia is less common in those with type 2 diabetes. Code Tree. They are also less likely to wake up. Hypoglycemia unawareness (HU) designates failure to detect symptoms of eminent hypoglycemia, with delayed occurrence or absence of autonomic symptoms. Messages 398 Best answers 0. 649 is a billable ICD code used to specify a diagnosis of type 1 diabetes mellitus with hypoglycemia without coma. Several factors were of significance as regards inducing HAAF: Foremost, the duration of antecedent hypoglycemia should be at least 90 minutes and blood glucose should be maintained below 3. The major counter-regulatory hormone that causes glucose to be released by the liver to raise blood sugar. Although hypoglycemia-associated autonomic failure has been studied extensively, little is known about the mechanisms underlying hypoglycemia awareness/unawareness. Hyperinsulinism; Hyperinsulinism, iatrogenic; Hyperplasia of pancreatic islet beta cell; Hypoglycemia (low blood sugar), reactive; Iatrogenic hyperinsulinism. C. 649); code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) ICD-10-CM Diagnosis Code E08. Avoidance of and fear of hypoglycemia are often the major impediment for achieving optimal glycemic control [ 1 ]. The following code (s) above E11. Hypoglycemia; Hypoglycemia (low blood sugar); Hypoglycemia post gi surgery; Hypoglycemia unawareness; Hypoglycemic encephalopathy; Loss of hypoglycemic warning; Post gastrointestinal tract surgery. This is the American ICD-10-CM version of E11. Type 1 Excludes. 649); code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) ICD-10-CM Diagnosis Code E08. 649 Type 1 diabetes mellitus with hypoglycemia without coma; E10. Hypoglycemia remains a major concern for people with diabetes treated with insulin or insulin secretagogues and their families. 649, E10. 641 E13. Tel +1 617-309-1966. 0 became effective on October 1, 2023. E15 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This is the American ICD-10-CM version of R40. ICD-10-CM Diagnosis Code T38. 641 With hypoglycemia without coma or with hypoglycemia unawareness E10. ICD-10 code lookup — find diagnosis codes (ICD-10-CM) and procedure codes (ICD-10-PCS) by disease, condition or ICD-10 code. Type 2 diabetes with mild nonp rtnop with macular edema, bi. Type 1 diabetes mellitus with hypoglycemia without coma. Mean HbA1c levels in patients with hypoglycemia unawareness were lower than those in patients without hypoglycemia unawareness. The 2024 edition of ICD-10-CM R40. Conclusions. Hypoglycemia, especially severe. The 2024 edition of ICD-10-CM Q79. Nondiabetic hypoglycemic coma. identified multiple risk factors that each contribute to SH in patients with type 2 diabetes and include antecedent hypoglycemia, hypoglycemia unawareness, older age, low body mass index (BMI), long. ICD-10-CM Diagnosis Code E09. Hypoglycemia unawareness which is associated with a 3-6 times higher risk of severe hypoglycemia is prevalent in 25% to30% of adults with T1DM and increases with duration of insulin therapy. ICD-10-CM Diagnosis Code E10. g. Difficulty concentrating. 2 should only be used for claims with a date of service on or before September 30, 2015. congenital hiatus hernia (. [1] [3] Whipple's triad is used to properly identify hypoglycemic episodes. If your blood sugar drops below the healthy range, it causes certain symptoms like shakiness and a faster heartbeat and can be life-threatening if it goes too low. 1 - 3 Reduction of glucose levels in patients with type 1 or type 2 diabetes has been shown to decrease the risks of kidney, nerve, and retinal injury. 2%) U. 0 became effective on October 1, 2023. 8–3. Fear of hypoglycemia was assessed using the Hypoglycemia Fear Survey (score range 25–125, where a higher score indicates more fear), and a Risk Assessment of Diabetic Drivers score ≥0. 22 years). 12. 628 With periodontal disease E10. Introduction. If a person develops neuroglycopenic symptoms before the appearance of autonomic symptoms or is asymptomatic until blood sugar levels are very low, the patient will develop. Hypoglycemia is increasingly recognized after gastric bypass. 98, 95% CI 0. 81 may differ. 630 With other oral complications E10. Search. Eight right-handed healthy subjects (three women, age 28. K. 539. 0 Hypoglycemic coma 251. Diabetes 1 with hypoglycemia unawareness; Diabetes type 1 with hypoglycemia; Hypoglycemia due to type 1 diabetes mellitus; Unawareness of hypoglycemia in type 1 diabetes mellitus. Obviously, life-threatening episodes of. 3% to 13. 0 mmol/L]) magnitude, corresponding with the cutoffs for hypoglycemia alert value and clinically important hypoglycemia (). 65 With other specified complication. 0): 008 Simultaneous pancreas and kidney transplant; 010. 64 contain annotation back-references that may be applicable to E11. Diabetes diagnosis was identified as an ICD-9 250. Where applicable, noting the number of insulin injections per day, the number of glucose checks per day, the presence of hypoglycemia unawareness or reduced awareness, and/or documentation of. [2, 3] Most, approximately 95%, have type 2 diabetes. The prevention or correction of hypoglycemia normally involves both dissipation of insulin and activation of glucose counterregulatory systems. 2% ± 0. Identifying hypoglycemia can help you prevent it from becoming too low. unrecognized hypoglycemia can progress to severe symp-toms such as hypoglycemia unawareness, loss of conscious-ness, seizures, coma, and even death [9]. 649 without coma. In patients with T1D, hypoglycemia awareness (Clarke score) and severity (HYPO score and severe events) improved (P < 0. 9 Type 1 diabetes mellitus. Hypoglycemia, occurring after bariatric and other forms of upper gastrointestinal surgery, is increasingly encountered by clinical endocrinologists. in 1991 as the inability to recognize autonomic warning symptoms or the failure to develop them before the onset of neurogenic hypoglycemia. HAAF refers to a combination of (i) impaired hormonal counterregulatory responses and (ii) hypoglycemia unawareness to subsequent hypoglycemia, substantially increasing the risk of severe hypoglycemia. 3, 6. S. Postprandial hyperinsulinemic hypoglycemia after bari-atric surgery was initially described in 6 patients who underwent RYGB for severe obesity [7]. Hypoglycemia in diabetes: An update on pathophysiology, treatment, and prevention. Her medications were apixaban 5 mg/day in 2 doses, furosemide 40 mg/day, bisoprolol 10 mg/day, and perindopril 10 mg/day. diabetes with hypoglycemia without coma ( E09. This article provides key updates for ICD-10 coding for diabetes and its complications. health care setting. As most patients are unable to maintain glycemic control on monotherapy, fortunately, effective. 9. 0 mmol/L). An irregular or fast heartbeat. Protocols to minimize the occurrence of maternal hypoglycemia include intensive education of patients and significant others, frequent SMBG, proper timing of adequate meals and snacks, correct. 641 With hypoglycemia without coma or with hypoglycemia unawareness E10. 2% and 10. It carries a sixfold increase in risk of severe hypoglycemia episodes, which are associated with confusion, coma, and seizure and which individuals. Hypoglycemia Unawareness. The following code (s) above E11. Care for patients with kidney disease, particularly ESKD, is expensive and resource intensive, with 7% of all Medicare spending directed toward patients with ESKD. Search Results. 649 is a billable ICD code used to specify a diagnosis of type 1 diabetes mellitus with hypoglycemia without coma. Dizziness or lightheadedness. Objective People with type 2 diabetes on insulin are at risk for hypoglycemia. Hypoglycemia, or low blood glucose, occurs when the amount of glucose (or sugar) in your blood is too low (less than 70 mg/dl). E66 Overweight and obesity. Lack of symptoms, or hypoglycemia unawareness, is part of the syndrome called hypoglycemia associated autonomic failure. 4 - other international versions of ICD-10 R40. Marks, in Encyclopedia of Human Nutrition (Second Edition), 2005 Definition. Volume 20. Knowing how to identify low blood sugar is important because it can be dangerous if left untreated. 64. ICD-10-CM Diagnosis Code E16. This concept is important not only in physiology, but also to define the safe glycaemic targets for intensive therapy of Type 1 diabetes. In the ICD-10 categories for diabetes (E10–E14), subdivision E1x. Search Results. Finally, it is unknown whether hypoglycemia risk and consequences differ by commonly used beta–blocker types. ICD-10-CM Diagnosis Code P35. But many people can have blood sugar readings below 70 mg/dL and feel no symptoms. 2 should only be used for claims with a date of service on or before September 30, 2015. This chapter includes symptoms, signs, abnormal. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. Hypoglycemia unawareness. Although hypoglycemic symptoms can appear when blood glucose is 70 mg/dL, its onset depends largely on individual physiological adaptation mechanisms. 649 [convert to ICD-9-CM] Type 2 diabetes mellitus with hypoglycemia without coma. There were similar observed rates of ≥1 HRU. Best answers. such as hypoglycemia unawareness, long duration of diabetes, strict glycemic control, older age, multiple comorbidities,. Diabetes type 2 with hypoglycemia unawareness; Hypoglycemia due to type 2 diabetes mellitus; Insulin reactive hypoglycemia in type 2 diabetes mellitus; Unawareness of. The management of hypoglycemia unawareness is challenging (24,25), and short of a pancreas or islet transplant, avoidance of episodes of hypoglycemia appears to carry the best chance of regaining some sensation of hypoglycemia (26–28). 500 results found. Diabetic hypoglycemia is a low blood glucose level occurring in a person with diabetes mellitus. Hypoglycemia is a fact of life for people with type 1 diabetes. Approximately 25% of Americans aged ≥65 years have diabetes mellitus (diagnosed and undiagnosed), the vast majority of whom have type 2 diabetes (T2D) [ 2, 3 ]; thus, the number of older people with diabetes is expected to increase as the population continues to age. The symptoms of Whipple's triad have been used to describe hypoglycemia since 1938. Hypoglycemia (hypoglycaemia in British English) is the medical term for a pathologic state produced by a lower than normal level of glucose in the blood. [45,120] Less than 10% of adults with T2DM treated with insulin have evidence of hypoglycemia unawareness, but in those with this syndrome, the risk of. Research Design and Methods: Current understanding of this problem is based on physicians’ personal experiences as well as on published case reports. 641. 0. Oth. Diabetes mellitus type 2 w complications; Diabetes type 2 with hypoglycemia; Diabetes type 2 with hypoglycemia unawareness;. V. 64) E10. Moreover, β-blockers are associated with an increased risk of hypoglycemia. 641. ICD-10-CM E88. harvard. ICD-10-CM Diagnosis Code M02. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code. Drug induced hypoglycemia; diabetes with hypoglycemia without coma (E09. 641 [convert to ICD-9-CM] Other specified diabetes mellitus with hypoglycemia with coma. 69: With other specified complication: E10. 649 is a billable diagnosis code used to specify a medical diagnosis of type 1 diabetes mellitus with hypoglycemia without coma. Background Hypoglycemia is a fairly common complication in diabetic patients, particularly in those on insulin therapy. Fax +1 617-309-2593. 6. [AACE Recommendation 2. Hypoglycemia awareness is when hypoglycemia is not accompanied by any symptoms. 649, E11. Recurring hypoglycemia leads to a condition of hypoglycemia-associated autonomic failure (HAAF). 3) • Hypoglycemia Due to Medication Errors: Accidental mix-ups. Hypoglycemia is defined as a clinical condition when the venous blood glucose level is <55mg/dl (<3mmol/L), obtained if possible, at the time of the symptoms. Early warning signs and symptoms. Initial signs and symptoms of diabetic hypoglycemia include: Looking pale (pallor) Shakiness. Showing 1-25: ICD-10-CM Diagnosis Code E13. 649Type 1 diabetes mellitus with hypoglycemia without coma. 641 [convert to ICD-9-CM] Drug or chemical induced diabetes mellitus with hypoglycemia with coma. The code is linked to some Quality Measures as part. , with a progressive increase of ∼20,000 cases per year since 2012 (1,2).