ICD-10 Coding for Diabetes with Hypoglycemia(E11.649, E10.649)
Complete ICD-10-CM coding and documentation guide for Diabetes with Hypoglycemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Diabetes with Hypoglycemia
E10.641-E11.649Primary Range
Diabetes mellitus with hypoglycemia
This range includes codes for diabetes mellitus with hypoglycemia, both with and without coma, for Type 1 and Type 2 diabetes.
Hypoglycemia severity levels
These codes specify the severity of hypoglycemia and are used as ancillary codes with diabetes codes.
Long-term (current) use of insulin
This code is used to indicate long-term insulin use, which is relevant for patients with diabetes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E11.649 | Type 2 diabetes mellitus with hypoglycemia without coma | Use when a patient with Type 2 diabetes experiences hypoglycemia without coma. |
|
| E10.649 | Type 1 diabetes mellitus with hypoglycemia without coma | Use when a patient with Type 1 diabetes experiences hypoglycemia without coma. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for diabetes with hypoglycemia
Essential facts and insights about Diabetes with Hypoglycemia
Primary ICD-10-CM Codes for diabetes with hypoglycemia
Decision Criteria
clinical Criteria
- Presence of hypoglycemic symptoms and low glucose levels
Applicable To
- Type 2 diabetes with hypoglycemia
Excludes
- Hypoglycemia with coma (E11.641)
Clinical Validation Requirements
- Documented blood glucose level <70 mg/dL
- Symptoms such as confusion or shakiness
- Resolution of symptoms after glucose administration
Code-Specific Risks
- Ensure hypoglycemia is linked to diabetes treatment.
Coding Notes
- Always document the causal relationship between diabetes treatment and hypoglycemia.
E10.649 - Type 1 diabetes mellitus with hypoglycemia without coma
Use when a patient with Type 1 diabetes experiences hypoglycemia without coma.
Applicable To
- Type 1 diabetes with hypoglycemia
Excludes
- Hypoglycemia with coma (E10.641)
Clinical Validation Requirements
- Documented blood glucose level <70 mg/dL
- Symptoms such as confusion or shakiness
- Resolution of symptoms after glucose administration
Coding Notes
Always document the causal relationship between diabetes treatment and hypoglycemia.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hypoglycemia level 2
E16.A2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Diabetes with Hypoglycemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.649.
Impact
Clinical: Inaccurate clinical assessment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always document glucose levels during hypoglycemic episodes.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use specific diabetes codes (E10.649, E11.649) for hypoglycemia related to diabetes.
Impact
Failure to use E16.A* codes for hypoglycemia severity.
Mitigation Strategy
Ensure documentation includes glucose levels and symptoms.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Diabetes with Hypoglycemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Diabetes with Hypoglycemia
Use these documentation templates to ensure complete and accurate documentation for Diabetes with Hypoglycemia. These templates include all required elements for proper coding and billing.
Emergency Department Encounter
Specialty: Emergency MedicineRequired Elements
- Patient history
- Blood glucose levels
- Symptoms and treatment
- Resolution of symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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