ICD-10-CM Billable Code

E11.641

Type 2 diabetes mellitus with hypoglycemia with coma

Clinical Classification Guidelines

Medical Intelligence & Overview

Type 2 diabetes mellitus is a chronic condition that affects the way the body processes blood sugar (glucose). When this condition is complicated by episodes of hypoglycemia—dangerously low blood sugar levels—and coma, it requires careful management and awareness. The ICD-10 code E11.641 specifically refers to cases where a person with type 2 diabetes experiences hypoglycemia leading to coma. This guide offers a patient-friendly overview of this condition, including its causes, symptoms, diagnosis, and general approaches to management.

Causes & Symptoms

Clinical Causes: Excessive dose of diabetic medications such as insulin or oral hypoglycemics Skipping or delaying meals while on diabetes medication Intense physical activity without adjusting diet or medication Consumption of alcohol, which can interfere with blood sugar regulation Certain medical conditions affecting the liver, kidneys, or adrenal glands that impact glucose metabolism Illness or infection that alters normal blood sugar levels Insufficient monitoring of blood sugar levels

Key Symptoms: Sudden confusion and disorientation Unusual sweating or clamminess Rapid heartbeat or palpitations Dizziness or feeling faint Weakness or fatigue Loss of consciousness or coma Shaking or tremors Hunger and irritability

Diagnostic & Treatment

Diagnosis Path: Diagnosing this condition involves a combination of clinical assessment and blood tests. Medical professionals may perform the following:

Treatment Protocols: Immediate treatment focuses on promptly elevating blood sugar levels to reverse hypoglycemia and prevent brain injury. Common strategies 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 E11.641 a billable ICD-10 code?
Yes, E11.641 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report E11.641?
Clinical documentation must specify the nature of Type 2 diabetes mellitus with hypoglycemia with coma and any associated comorbidities for accurate reporting.

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