ICD-10-CM Billable Code

E13.64

Other specified diabetes mellitus with hypoglycemia

Clinical Classification Guidelines

Use Additional Code

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

Medical Intelligence & Overview

ICD-10 code E13.64 refers to a specific form of diabetes mellitus characterized by episodes of hypoglycemia, where blood sugar levels fall too low. This condition falls under the broader category of other specified diabetes mellitus, indicating that the diabetes does not fit into the more common classifications such as type 1 or type 2. Managing this condition requires awareness of its unique features, including how blood sugar fluctuations can impact overall health.

Causes & Symptoms

Clinical Causes: Overmedication with insulin or other antidiabetic drugs Irregular eating patterns or skipping meals Excessive alcohol consumption Intense physical activity without appropriate carbohydrate intake Certain medical conditions affecting insulin production or utilization Genetic factors influencing insulin sensitivity or secretion Pancreatic tumors or other disorders affecting insulin regulation

Key Symptoms: Sudden weakness or fatigue Shakiness or trembling Sweating excessively Hunger spells Irritability or mood changes Dizziness or lightheadedness Blurred vision Confusion or difficulty concentrating In severe cases, loss of consciousness or seizures

Diagnostic & Treatment

Diagnosis Path: Diagnosis of this condition involves a combination of medical history review, blood glucose testing, and sometimes continuous glucose monitoring. Healthcare providers may perform fasting blood sugar tests, oral glucose tolerance tests, and evaluate the frequency and severity of hypoglycemic episodes. Additional tests might include checking for underlying causes such as pancreatic tumors or other disorders that influence insulin levels.

Treatment Protocols: Management strategies focus on preventing episodes of hypoglycemia and maintaining stable blood glucose levels. Typical approaches include:

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 E13.64 a billable ICD-10 code?
Yes, E13.64 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report E13.64?
Clinical documentation must specify the nature of Other specified diabetes mellitus with hypoglycemia and any associated comorbidities for accurate reporting.

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