ICD-10-CM Billable Code

E16.1

Other hypoglycemia

Clinical Classification Guidelines

Use Additional Code

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

Inclusion Terms

  • Functional hyperinsulinism
  • Functional nonhyperinsulinemic hypoglycemia
  • Hyperinsulinism NOS
  • Hyperplasia of pancreatic islet beta cells NOS

Excludes Type 1

  • diabetes with hypoglycemia (E08.649, E10.649, E11.649, E13.649)
  • hypoglycemia in infant of diabetic mother (P70.1)
  • neonatal hypoglycemia (P70.4)

Medical Intelligence & Overview

Other hypoglycemia, classified under ICD-10 code E16.1, refers to episodes of low blood sugar levels that do not fit into the more common categories of hypoglycemia. This condition can result from various underlying causes, affecting individuals differently. Recognizing the signs and understanding potential causes are crucial for managing this condition effectively.

Causes & Symptoms

Clinical Causes: Functional hyperinsulinism: excess insulin production not caused by tumors, leading to low blood sugar Functional nonhyperinsulinemic hypoglycemia: episodes of low blood sugar without elevated insulin levels Hyperinsulinism NOS (Not Otherwise Specified): unspecified cause of excess insulin secretion Hyperplasia of pancreatic islet beta cells NOS: abnormal growth of insulin-producing cells in the pancreas

Key Symptoms: Shaking or trembling Sweating Increased hunger Irritability or mood changes Weakness or fatigue Dizziness or lightheadedness Confusion or difficulty concentrating Blurred vision In severe cases, loss of consciousness or seizures

Diagnostic & Treatment

Diagnosis Path: Diagnosis often involves measuring blood glucose levels during symptoms, along with laboratory tests to assess insulin levels. Additional methods can include oral glucose tolerance tests and imaging studies to evaluate pancreatic activity or structure. Medical history and symptom descriptions also aid in diagnosis.

Treatment Protocols: Managing other hypoglycemia involves addressing the underlying causes. Typical approaches may include dietary modifications to maintain stable blood sugar levels, such as frequent, balanced meals rich in complex carbohydrates, proteins, and healthy fats. In some cases, medication or surgical intervention might be necessary, depending on the root cause diagnosed by a healthcare professional.

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 E16.1 a billable ICD-10 code?
Yes, E16.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report E16.1?
Clinical documentation must specify the nature of Other hypoglycemia and any associated comorbidities for accurate reporting.

Cite this Clinical Reference

Clinical Meta Tags

hypoglycemia