It can cause. Synonyms: amino acid above reference range, aminomethyltransferase deficiency,FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. The 2024 edition of ICD-10-CM Y92. 3. R2. These can happen quickly and can become dangerous. The aims of this case report are to highlight metabolic encephalopathy as a complication of DKA and to explore the. Hyperosmolar hyperglycemic state (HHS) is one of two serious metabolic derangements that occur in patients with diabetes mellitus (DM). 0 became effective on October 1, 2023. E11. Some people develop symptoms at slightly higher levels, especially when blood. 21 if the kidney problem is diabetic nephropathy,. Hyperplasia of pancreatic islet beta cells NOS. ICD-10-CM/PCS MS-DRGv33 Definitions Manual. Dm Type 2 With Hyperglycemia Icd 10. Our body uses glucose for energy which we get from our diet and any excess is stored in the liver and stored fat. 00:. 9 mmol/L; betahydroxybutyrate was up to 5. Diabetes mellitus (DM), commonly referred to as diabetes, is a group of metabolic diseases in which there are high blood sugar levels over a. E11. Diabetes is a common condition, afflicting > 20% of the American population over the age of 60 years. Coding for Diabetes Mellitus in ICD 10 is a challenging task and you need a certified coder who is must have experience in Diabetes coding to choosing the correct. Since the first manifestation of the syndrome is classically that of new onset seizures, initial emergency department presentation is likely. Severe hypoglycemia may result in seizures and brain damage, which lead to developmental delays, physical and learning disabilities, and, in rare cases, death [ 1,2 ]. The resulting hypoglycemia is accompanied by appropriate hormonal and metabolic responses to hypoglycemia, including elevation in BOHB plasma concentration. This condition presents with a clinical syndrome consisting of profound hyperglycemia, hyperosmolality, and dehydration. Parent Code: E11. 641 is a valid billable ICD-10 diagnosis code for Other specified diabetes mellitus with hypoglycemia with coma . Despite hypoglycemia is one of the. ICD-10-CM/PCS MS-DRG v37. The symptoms of Whipple's triad have been used to describe hypoglycemia since 1938. E11. Symptoms of HONK. Similarly, idiopathic ketotic hypoglycemia, which is the most common cause of hypoglycemia in children, occurs frequently in children who have a low body mass index for their age, and it has been suggested that reduced muscle mass contributes to impaired gluconeogenesis. The 2024 edition of ICD-10-CM E16. E08: Diabetes due to underlying condition. This is the American ICD-10-CM version of E11. Being weak or tired. Instruc- Volume 64 Number 5 Ketotie hypoglycemia 6 3 5 Table IA. Abstract. The main etiological causes are metabolic and/or endocrine and/or other congenital disorders. E08. Gastralgia - see also Pain, abdominal. Figure 1. Excluding such diagnoses, ketotic hypoglycemia after prolonged fasting in younger children has been categorized as idiopathic ketotic hypoglycemia (IKH) or accelerated starvation 10,11,12. Ketotic hypoglycemia (KH) is not a disease itself. Coding methodology for severe hypoglycemia and hyperglycemia changed between 2015 and 2016 due to transition from ICD-9 to ICD-10 codes, affecting hypoglycemia ascertainment more than severe hyperglycemia due to greater availability of hypoglycemia ICD-10 codes than ICD-9 codes. 83] [ICD-10 Codes: G31. Desired Outcome: The patient must have a blood. Next Code: E11. 0 became effective on October 1, 2023. [1] It remains one of the more common causes of hypoglycemia in the age range. Manifestations of hyperinsulinemic hypoglycemia vary by age and severity of the hypoglycemia. 649 is a valid billable ICD-10 diagnosis code for Other specified diabetes mellitus with hypoglycemia without coma. Previous Code: E11. Symptoms might include: Being very thirsty. Nonketotic hyperglycinemia (NKH) is an inherited (genetic) condition that prevents your baby’s body from breaking down a substance called glycine in the blood. Short description: OTH SPCF HYPOGLYCEMIA. HHNS can affect both types of diabetics, yet it usually occurs amongst. This is the American ICD-10-CM version of E72. 32 may differ. 2006;. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM. Source ICD-10-CM Code Target ICD-9-CM Code; E11. Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism. Mol. Nausea and vomiting caused by ketones may lead to further decline in PG if hyperketosis is not recognized and treated. 51 is a billable ICD code used to specify a diagnosis of non-ketotic hyperglycinemia. If it varies within a certain range, you probably won’t be able to tell. Senior B, Loridan L. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Ketotic hypoglycemia is the most common type of hypoglycemia in toddlers, caused by low blood sugar and high ketones after fasting or illness. Other specified diabetes mellitus with hyperosmolarity with coma E13. E09. (with hypoglycemia) affected by. 6-0. 1 - other international versions of ICD-10 E16. 9 became effective on October 1, 2023. 641 - other international versions of ICD-10 E11. 2022 2023 2024 Billable/Specific Code. ICD-10-CM Code. Short description: Oth spcf hypoglycemia. E08. Nondiabetic hypoglycemic coma is coded as 251. Idiopathic ketotic hypoglycemia (KH) is the most common cause of hypoglycemia in non-diabetic children ages 0. Eleven patients, accounting for 24. This is the American ICD-10-CM version of E10. HHNS is diagnosed based on symptoms and by measuring blood glucose levels, which can be performed with a finger stick. Hypoglycemia is due to defects in the metabolic systems involved in the transition from the fed to the fasting state or in the hormone control of these systems. Developmental Regression / Cognitive Impairment [ICD-9 Codes: 331. KH is referenced in the Human Phenotype Ontology (HPO) as HP:0012734, a sign of other known rare diseases [5, 6]. This is the American ICD-10-CM version of E13. Idiopathic ketotic hypoglycemia (IKH) is often relatively mild and may remain undiagnosed. 9 became effective on October 1, 2023. Before loss of consciousness and coma takes place, patients will display signs of very high blood sugar levels which may include: Extreme thirst. It’s high blood sugar levels, usually 250 mg/dL or higher, with the presence of ketones in the blood and urine. The ICD code E162 is used to code Hypoglycemia. Ketotic hypoglycaemia (KH) This leaflet gives more information about KH. Type 1 Excludes. Ketotic hyperglycemia is a condition that many people with diabetes experience. The 2024 edition of ICD-10-CM E11 became effective on October 1, 2023. 65 - other international versions of ICD-10 E11. The first usage refers to a. 3 mmol/L). Source: media. F. Instead of placing my primary focus on including carbohydrates with each meal and snack, I began to focus on eating. In. There are no effective treatment strategies that alter the natural history of nonketotic hyperglycinemia. ↓ See below for any exclusions, inclusions or special notationsAHRQ QI™ Proposed Coding for ICD-10-CM/PCS Specification PQI #1 Diabetes Short-Term Complications Admission Rate of November 2013. In the last 6 months, he was consuming 120-140 g of ethanol every day. E11. Introduction. (See Epidemiology. Garré's disease, osteitis (sclerosing) - see Osteomyelitis, specified type NEC. 810 - other international versions of ICD-10 D72. The classical form is then further divided into severe. 9, to enhance healthcare accuracy and patient outcomes. DRG 637. Metabolic encephalopathy is a rare but potentially devastating complication of diabetic ketoacidosis (DKA). The disease is caused by defects in the glycine cleavage system, an enzyme responsible for glycine catabolism. 195 The syndrome can thus develop in patients with insulin-dependent, ketosis-prone type 1 diabetes. 3. DWI: often no anomaly 6-9. A feeling of hunger, sweating, shakiness. 2. Hypoglycemia is often defined by a plasma glucose concentration below 70 mg/dL; however, signs and symptoms may not occur until plasma glucose concentrations drop below 55 mg/dL. ICD-10-CM Diagnosis Code E11. Functional hyperinsulinism. The 2024 edition of ICD-10-CM Z86. In systemic carnitine deficiency, an early phase of nonketotic hypoglycemia and liver dysfunction may precede a late phase of encephalopathy and myopathy. ICD-9-CM 251. [ 1] It is a life-threatening emergency that, although less common than its counterpart, diabetic ketoacidosis (DKA), has a much higher mortality rate, reaching up to 5-10%. Figure 1. E11. 1 should only be used for claims with a date of service on or before September 30, 2015. BILLABLE | ICD-10 from 2011 - 2016. dextrose-rich) foods or drinks to provide energy from glucose metabolism instead of fatty acid metabolism which leads to further. E11. However, some more severe phenotypes with pronounced hypoglycemia, marked hepatomegaly, liver adenomas, liver fibrosis, muscular hypotonia, and post-prandial lactic acid elevation have been described [10, 11]. Sugar is the best treatment. 1 should only be used for claims with a date of service on or before September 30, 2015. For Whipple's triad, the practitioner must first recognize. 250. ICD-9-CM 251. 51 became effective on October 1, 2023. 65 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 should only be used for claims with a date of service on or before September 30, 2015. The GLDC and AMT genes provide instructions for making enzymes that work together as a group. Glycine is an amino acid, one of the building blocks that makes up proteins. Hypoglycemia in diabetes: An update on pathophysiology, treatment, and prevention. Presenting features of idiopathic ketotic hypoglycemia. Disorders in glucose availability or utilization can result in hypoglycemia or hyperglycemia. Hypoglycemia (Low Blood Glucose) Throughout the day, depending on multiple factors, blood glucose (also called blood sugar) levels will vary—up or down. 5–6 years old and typically occurs after a period of poor food intake. The mission of KHI is to enhance the understanding of IKH for the benefit of children, parents, and families who have been affected by IKH. However, the presence of ketones. 01. Next Code: E88. You may browse the classification by using the hierarchy on the left or by using the search functionality. This was the first year ICD-10-CM was implemented into the HIPAA code set. E08. 51 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 11Hypoglycemia in Children. E11. DA, Correia CE, Saunders AC, Wolfsdorf JI: Hepatic glycogen synthase deficiency: an infrequently recognized cause of ketotic hypoglycemia. There are two types of diabetes, Type 1 and Type 2. drug-induced insulin coma in nondiabetic. The cause is unknown. 9. 5. 3 - other international versions of ICD-10 Y92. The 2024 edition of ICD-10-CM E10. Eight children suffering from periodic episodes of clinical hypoglycemia were studied. 01; ICD-10-CM Codes Adjacent To E13. 00113. Hypoglycemic disorders are rare, but their consequences, particularly for children, can be severe and disabling. , dextromethorphan, oral ketamine) to reduce glycinergic stimulation. 2036. 1 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. Not Valid for Submission. This was the first year ICD-10-CM was implemented into the HIPAA code set. Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS), also known as Hyperosmolar Hyperglycaemic State (HHS) is a dangerous condition resulting from very high blood glucose levels. Nursing Diagnosis: Unstable Blood Glucose Level related to insufficient checking of blood sugar levels and lack of compliance to proper diabetes management secondary to hypoglycemia as evidenced by fatigue and tremors. [2,3] Hyperglycemia, [4–8] ischemia, [9,10] and micro-hemorrhage [3,11] may. 70±0. Try glucose tablets or gel, fruit juice, regular (not diet) soda, honey, or sugary candy. 2–6 This article will review the most common and immediately. DRG. 9 in processing claims, check the following: — See. 3 The failure to reduce insulin infusion rate and/or to use dextrose-containing solutions when blood glucose levels reach 250 mg/dl is the most important risk. The administration of biotin 10 mg/day provides a dramatic and sustained improvement. The coding system was updated in October 2015 to its 10th revision because it was thought that the 9th revision (ICD-9) no longer. ICD-10-CM/PCS MS-DRG v37. 1 of the Program Integrity Manual, to remove all coding from LCDs and incorporate into related Billing and Coding Articles. 01 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. blogspot. E08: Diabetes due to underlying condition. 1 is a legacy non-billable code used to specify a medical diagnosis of other specified hypoglycemia. Short description: Oth spcf hypoglycemia. A blood glucose level of 600 mg/dL and low ketone levels are the main factors for diagnosis of HHNS. These can happen quickly and can become dangerous. ICD-9-CM 251. 4% of all significant hypoglycemic. At present (aged 15) the patient is mentally retarded, has epilepsy, high tone deafness and a major behaviour disturbance. 31 Most children outgrow this condition by 5-6 years of age. As for the other two numbers in Type 1 diabetes, ICD 10 code before the second decimal point elaborates on the already specified systemic issues. E16. . Ketotic Hyperglycinemia (NKH), Homocystinuria, Lysinuric Protein intolerance. ICD-10-CM Diagnosis Code T38. This phenomenon occurs when the patient is taking enough insulin to prevent ketoacidosis (by limiting free fatty. 4 is a billable ICD-10 code used to specify a medical diagnosis of other neonatal hypoglycemia. While there are no distinct imaging features, it is useful for a radiologist. 621 [convert to ICD-9-CM] Type 1 diabetes mellitus with foot ulcer. ↓ See below for any exclusions, inclusions or special notations. E72. Diagnosis of diabetes was. This variability in the clinical response in neonates to low blood glucose concentrations is due to a number of factors that include the infant's gestational age and postnatal age, the presence of other sources of energy (eg, lactate and ketone bodies), and circumstances that affect glucose metabolism and cerebral glucose uptake and utilization. This was the first year ICD-10-CM was implemented into the HIPAA code set. 4% of all significant hypoglycemic episodes unrelated to diabetes in children over 6 months of age, were diagnosed with IKH. 2x Secondary diabetes mellitus with hyperosmolarity;. The glucose level at which an individual becomes symptomatic is highly. 10 Diabetes with ketoacidosis, type II or unspecified type, not stated as uncontrolled E10. Glycine is also used as a neurotransmitter, which helps send signals from one part of the brain to another. E71. Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)-E1101. Disorder of glucose metabolism 126877002. The 2024 edition of ICD-10-CM E11. For Whipple's triad, the practitioner must first recognize. 51 is a billable diagnosis code used to specify non-ketotic hyperglycinemia. 9 may differ. 00 for Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) is a medical classification as listed by WHO under the. 39 contain annotation back-references Treatment / Management. 3-hydroxyacyl-CoA dehydrogenase deficiency is an inherited condition that prevents the body from converting certain fats to energy, particularly during prolonged periods without food (fasting). Look-Ups. 69. In neonates <48 hrs old, there is a lack of consensus on what constitutes normal BGL, however, BGL <2. A type 1 excludes note is a pure excludes. i12. Ketotic hypoglycemia. v12. HHNC is a syndrome of abnormally high serum glucose and osmolality coupled with depressed consciousness and an absence of ketoacidosis. The administration of biotin 10 mg/day provides a dramatic and sustained improvement. Glycogen storage disease type III (GSD III) is characterized by variable liver, cardiac muscle, and skeletal muscle involvement. ICD-10cm codes for Diabetes Mellitus Type 2. This code was replaced on September 30, 2015 by its ICD-10 equivalent. The charts of 94 non-diabetic patients presenting to an ED during a period of 64 months with a diagnosis of hypoglycemia as identified via ICD-9 codes were reviewed. A feeling of hunger, sweating, shakiness. Point-of-care meters provide a convenient screening method for detecting hypoglycemia, but their accuracy is limited to approximately ±10-15 mg/dL (0. Citation, DOI, disclosures and article data. 32 - other international versions of ICD-10 E71. < 54 mg/dL. Glucose supply and metabolism are of central importance for growth and normal brain development in the fetus and newborn. com. This diagnosis requires ketonuria or ketonaemia. Diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS), lactic acidosis (LA), and hypoglycemia are acute and potentially life-threatening complications of diabetes. Context: Childhood ketotic hypoglycemia (KH) is a disease characterized by fasting hypoglycemia and increased levels of ketone bodies. When we eat regular meals, our body uses the glucose in the meals as an energy source and therefore does not need to use much fat. E13. 00113. 1 should only be used for claims with a date of service on or before September 30, 2015. ‘Uncontrolled’ is not an acceptable term. But it is unusual and is often mild compared with diabetic ketoacidosis. ICD 10 AM Edition: Tenth edition Query Number: 3026 34/40 pregnant lady with pre-existing type 1 diabetes admitted with 2 week history of nausea and vomiting and unstable blood sugars. 65 may differ. ↓ See below for any exclusions, inclusions or special notations. Convert to ICD-10-CM: 251. The ICD code E160 is used to code Hypoglycemia. S. In older children, it’s most often seen as a complication of insulin therapy for diabetes but can sometimes have other causes. The following code (s) above E11. HHS is a condition of: Extremely high blood sugar (glucose) level. 00 Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) ICD-10-CM: E13. The 2024 edition of ICD-10-CM E11. The 2024 edition of ICD-10-CM E11. Acute treatment of adrenal crisis is for rapid restoration of tissue perfusion. Normoglycemic ketonemia is a common biochemical presentation in patients with GSD types VI and IX, and ketonemia can precede hypoglycemia in all studied GSD types. P70. KH is referenced in the Human Phenotype Ontology (HPO) as HP:0012734, a sign of other known rare. ICD-9-CM is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, should only be used for claims with a date of service on or before September 30, 2015. Ketotic Hypoglycemia Icd 10 . code for adverse effect, if applicable, to identify drug ( T36-T50 with fifth or sixth character 5) therapeutic misadventure T38. 1016/s0300-595x (83)80051-6. SNOMED CT Concept 138875005. 819. HHS is more often seen in people with type 2. Objective: To explore the clinical manifestation, diagnosis, therapy, and mechanism of hemichorea associated with non-ketotic hyperglycemia (HC-NH) so as to enhance awareness and avoid misdiagnosis or missed diagnosis of the disease. Hypoglycaemic attacks started at the age of 3 years and 4 months and continued until 9. Ganister disease J62. This revision is due to the Annual ICD-10 Code Update and is effective on 10/1/20. 0 may differ. All the patients of neonatal age group suffering from hypoglycemia. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or. ICD 10 code for Other specified diabetes mellitus with hyperosmolarity with coma. Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism. 3 mmol/L. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM. 641 became effective on October 1, 2023. Mean blood glucose was 34. It is commonly seen in elderly women. 649 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-9-CM 251. Disorientation. Includes. But severe variants, sometimes affecting several family members. 84]. E10. 9 is a valid billable ICD-10 diagnosis code for Type 2 diabetes mellitus without complications . E0800: Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E0801: Diabetes mellitus due to underlying condition with hyperosmolarity with coma. 174 results found. The pediatric patients admitted in the Malda Medical College and Hospital. Hyperglycemic hyperosmolar non-ketotic (HHNK) syndrome is thought to be a rare entity in the pediatric population, associated with significant mortality based on case reports in the literature. Hyperglycemia, unspecified. E11. This is the American ICD-10-CM version of E11. How I manage keto and hypoglycemia. E10. INTRODUCTION. Type 1 diabetes mellitus with hypoglycemia without coma E10. Idiopathic ketotic hypoglycemia (IKH) is an important cause of emergent hypoglycemia among children. 1 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. 0 - other international versions of ICD-10 E16. from the Pediatric Endocrine Society for Evaluation and Management of Persistent Hypoglycemia in Neonates, Infants, and Children. The condition of very high blood glucose without signs of ketosis may also be known as Hyperosmolar Hyperglycaemic State (HHS). Hypoglycemia is a common pediatric emergency, and serious hypoglycemia might cause pediatric encephalopathy and intellectual impairment (1, 2). ( 4) The coding system was updated in October 2015 to its 10th revision because it was thought that the 9th revision (ICD-9) no longer. ICD-9-CM 251. e. Nonketotic Hyperglycinemia (NKH) is a genetic disorder characterized by abnormally high levels of glycine, an amino acid that is one of the “building blocks” of proteins. The 2024 edition of ICD-10-CM H40. 52 E11. 39 Diabetes mellitus due to underlying condition with other diabetic. Despite the use of low-dose insulin protocols, hypoglycemia is still reported in 10–25% of patients with DKA. Mutations in the GLDC or AMT gene cause nonketotic hyperglycinemia. Idiopathic ketotic hypoglycemia (IKH) is an important cause of emergent hypoglycemia among. This is the American ICD-10-CM version of E11. 51 may differ. AND ICD-9-CM/ICD-10-CM CODING. Non-ketotic hyperglycinemia. 00 for Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) is a medical classification as. After you find out all icd 10 code for dm 2 with hyperglycemia results you wish, you will have many options to find the best saving by clicking to the button get link coupon or more offers of the store on the right to see all the related coupon, promote. Short description: Hypoglycemia NOS. Ketotic hypoglycaemia. Given these severe consequences, the prompt diagnosis and. 618 Drug or chemical induced diabetes mellitus with other diabetic arthropathy. This is the American ICD-10-CM version of E11. ketotic diabetic hyperosmolar coma was also excluded. The cause of of ketotic hypoglycemia, the commonest form of hypoglycemia in childhood, is not known. 10 is a valid billable ICD-10 diagnosis code for Other specified diabetes mellitus with ketoacidosis without coma . [4] [5] Symptoms include signs of dehydration, weakness, leg cramps, vision problems, and an altered level of. Drug or chemical induced diabetes mellitus with hypoglycemia with coma E10. Parent Code: E11. GSD IIIb, with liver involvement only, comprises about 15% of all affected individuals. 1 should only be used for claims with a date of service on or before September 30, 2015. Developmental Regression / Cognitive Impairment [ICD-9 Codes: 331. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . You can also check out ICD-10 Codes for Diabetes Mellitus Type 1. E89-E89 Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). Hypoglycemic disorder 237630007. Eleven patients, accounting for 24. Conditions to consider in the differential diagnosis of hypoglycemia include the following: Adrenal insufficiency - Primary adrenal disease (Addison disease); ACTH deficiency. 2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. Type 2 diabetes mellitus with hypoglycemia without coma: E1165: Type 2. Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC). 00 Drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) ICD-10-CM: E09. All neoplasms, whether functionally active or. Billable Thru Sept 30/2015. 7 years). Applicable To. Introduction. 649 became effective on October 1, 2023. 1 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. 2 can be expanded upon as E10. Non-ketotic hyperglycinemia Billable Code. 65. Short description: Oth diabetes mellitus with hyperosmolarity with coma The 2024 edition of ICD-10-CM E13. Disorder of carbohydrate metabolism 20957000. The code E11. e. ICD-10-PCS; New 2023 Codes; Codes Revised in 2023; Codes Deleted in 2023; HCPCS . E72. įind, Read, And Discover Icd 10. If significant hypoglycemia is present, a glucose of bolus 0. E11 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 0 : E00-E89. All neoplasms, whether functionally active or not. The alteration of biochemical pathways involving carbohydrate, protein and lipid metabolism often leads to an impairment of glucose homeostasis (1–3). E09.