ICD-10-CM Billable Code

E10.64

Type 1 diabetes mellitus with hypoglycemia

Clinical Classification Guidelines

Use Additional Code

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

Medical Intelligence & Overview

Type 1 diabetes mellitus with hypoglycemia is a condition where individuals with Type 1 diabetes experience episodes of low blood sugar levels. This situation can occur despite efforts to manage blood glucose and often requires careful monitoring and treatment adjustments. Recognizing the symptoms and understanding the causes can help manage this condition effectively. This article provides a comprehensive overview suitable for patients and caregivers seeking to learn more about this specific diagnosis under ICD-10 code E10.64.

Causes & Symptoms

Clinical Causes: Taking too much insulin or diabetes medication Skipping or delaying meals after insulin intake Engaging in increased physical activity without adjusting food intake or medication Alcohol consumption without adequate food intake Unrecognized or untreated infections or other illnesses that affect blood sugar levels

Key Symptoms: Shakiness or trembling Sweating excessively Feeling anxious or nervous Dizziness or lightheadedness Weakness or fatigue Hunger or nausea Headache Irritability or confusion Blurred vision Loss of consciousness in severe cases

Diagnostic & Treatment

Diagnosis Path: Healthcare providers diagnose hypoglycemia episodes primarily through patient history and blood glucose testing. A blood sugar level below 70 mg/dL (3.9 mmol/L) typically indicates hypoglycemia. Recurrent episodes or severe symptoms might lead to additional tests, including HbA1c testing to assess overall blood glucose control. Keeping detailed records of blood sugar levels, medication times, diet, and activity can aid in accurate diagnosis and management planning.

Treatment Protocols: Immediate intake of fast-acting carbohydrates such as glucose tablets, fruit juice, or regular soda to quickly elevate blood sugar levels. Monitoring blood glucose regularly to prevent and detect lows early. Adjusting insulin doses or timing in consultation with healthcare providers, especially around meals and activity. Education on recognizing early signs of hypoglycemia to take prompt action. Planning meals and snacks to maintain stable blood sugar levels throughout the day. Using medical alert devices or carrying quick sources of sugar for emergencies. In severe cases, where the patient is unconscious or unable to swallow, administration of glucagon by trained individuals or emergency medical intervention may be necessary.

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 E10.64 a billable ICD-10 code?
Yes, E10.64 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report E10.64?
Clinical documentation must specify the nature of Type 1 diabetes mellitus with hypoglycemia and any associated comorbidities for accurate reporting.

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