Find information on hypoglycemia diagnosis, including clinical documentation tips, ICD-10 codes (E16.2), SNOMED CT concepts, and healthcare provider resources. Learn about low blood sugar symptoms, treatment, and management for accurate medical coding and improved patient care. This resource covers relevant medical terminology, clinical guidelines, and best practices for documenting hypoglycemia in electronic health records. Explore details on diagnostic criteria and coding for hypoglycemia unawareness and other related conditions.
Also known as
Nondiabetic hypoglycemic coma
Hypoglycemia without diabetes.
Diabetes mellitus
Diabetes may be associated with hypoglycemia.
Abnormal glucose
Includes abnormal blood sugar levels like hypoglycemia.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is hypoglycemia drug-induced?
Yes
Due to insulin?
No
Due to other external cause?
When to use each related code
Description |
---|
Low blood sugar |
Insulin reaction |
Postprandial hypoglycemia |
Coding E16.2 without documentation specifying drug-induced, fasting, or other types leads to inaccurate severity and impacts reimbursement.
Miscoding transient neonatal hypoglycemia (P70.2) as E16.2 can result in inflated case mix index and incorrect quality metrics.
Coding symptoms like dizziness (R42) without a confirmed hypoglycemia diagnosis (E16.2) can underestimate patient acuity and affect quality reporting.
Patient presents with signs and symptoms consistent with hypoglycemia. Presenting complaints include sweating, tremor, weakness, dizziness, lightheadedness, confusion, and palpitations. Onset of symptoms occurred approximately [time] and was associated with [precipitating factors, e.g., missed meal, excessive exercise, insulin overdose]. Patient reports a history of [diabetes type 1, diabetes type 2, gestational diabetes, other] and is currently managed on [medication regimen, e.g., insulin therapy, oral hypoglycemic agents, dietary management]. Blood glucose level measured via [fingerstick, venous draw] was [numerical value] mgdL. Patient was treated with [treatment provided, e.g., 15g of fast-acting carbohydrate, IV dextrose] resulting in symptomatic improvement. Repeat blood glucose after treatment was [numerical value] mgdL. Patient education provided regarding hypoglycemia prevention, including consistent meal timing, appropriate carbohydrate intake, and medication management. Diagnosis of hypoglycemia confirmed based on clinical presentation, low blood glucose level, and response to treatment. ICD-10 code E16.2 (Hypoglycemia, unspecified) assigned. Follow-up with [healthcare provider, e.g., primary care physician, endocrinologist] recommended for ongoing diabetes management and hypoglycemia prevention strategies.