ICD-10-CM Billable Code

E08.64

Diabetes mellitus due to underlying condition with hypoglycemia

Clinical Classification Guidelines

Use Additional Code

  • code for hypoglycemia level, if applicable (E16.A-)

Medical Intelligence & Overview

Diabetes mellitus due to an underlying condition with hypoglycemia, classified under ICD-10 code E08.64, refers to a type of diabetes that occurs as a consequence of another medical condition. It is characterized by episodes of low blood sugar, known as hypoglycemia, which can be a serious complication. This type of diabetes differs from typical forms because its onset and management are closely linked to a secondary medical problem affecting the body's ability to regulate blood glucose levels.

Causes & Symptoms

Clinical Causes: Chronic illnesses such as chronic pancreatitis or certain infections that impair insulin production Endocrine disorders like adrenal insufficiency or certain tumors Medication effects, especially from drugs used to treat other health issues Surgical removal of part of the pancreas or other organs involved in glucose regulation Genetic conditions or hereditary diseases impacting glucose metabolism

Key Symptoms: Sweating or chills Trembling or shakiness Sudden weakness or fatigue Hunger or nausea Rapid heartbeat Confusion or difficulty concentrating Irritability or mood changes Dizziness or lightheadedness

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a combination of blood tests such as fasting blood glucose, oral glucose tolerance tests, and measurement of hemoglobin A1c. Medical history and physical examination help identify the underlying condition contributing to the diabetes. Monitoring blood sugar levels is essential to detect episodes of hypoglycemia and assess their severity. Healthcare providers may also investigate the primary condition that causes the secondary diabetes.

Treatment Protocols: Adjusting or discontinuing medications that cause hypoglycemia under medical supervision Treating the primary condition contributing to diabetes Dietary modifications to stabilize blood glucose levels Regular blood sugar monitoring Using medications to prevent hypoglycemic episodes when necessary Patient education on recognizing and responding to symptoms of hypoglycemia In some cases, insulin therapy or other diabetes medications may be needed

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is E08.64 a billable ICD-10 code?
Yes, E08.64 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report E08.64?
Clinical documentation must specify the nature of Diabetes mellitus due to underlying condition with hypoglycemia and any associated comorbidities for accurate reporting.

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