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ICD-10 Code E08.649 | Diabetes due to underlying condition w hypoglycemia w/o coma Symptoms, Diagnosis, Billing

Diabetes due to an underlying condition is characterized by hyperglycemia resulting from another medical condition, leading to hypoglycemia without coma. This condition is clinically significant as it requires careful monitoring and management to prevent severe hypoglycemic episodes. Accurate coding with ICD-10 Code E08.649 ensures proper diagnosis, documentation, and billing, facilitating effective public health reporting and resource allocation.

What is ICD-10 Code E08.649 for Diabetes due to underlying condition w hypoglycemia w/o coma?

ICD-10 Code E08.649 represents diabetes that arises from an underlying condition, accompanied by episodes of hypoglycemia without coma. This code is used when the diabetes is secondary to another disease process, such as hormonal disorders or pancreatic diseases. It is essential for clinical documentation and billing when managing patients experiencing hypoglycemic events related to their underlying condition.

ICD-10 Code E08.649 – Clinical Definition and Explanation of Diabetes due to underlying condition w hypoglycemia w/o coma

Diabetes due to underlying conditions can result from various pathophysiological mechanisms, including hormonal imbalances or organ dysfunction. The presence of hypoglycemia without coma indicates a need for immediate medical attention to prevent further complications. This condition requires careful management to stabilize blood glucose levels and address the underlying cause.

Key Clinical Features:

  • Hypoglycemic episodes may occur unexpectedly, requiring prompt intervention.
  • Patients may present with symptoms such as sweating, tremors, and confusion.
  • Underlying conditions may include endocrine disorders or chronic diseases.
  • Monitoring of blood glucose levels is critical to prevent severe hypoglycemia.

ICD-10 Code E08.649 for Diabetes due to underlying condition w hypoglycemia w/o coma – SOAP Notes & Clinical Use

In clinical workflows, ICD-10 Code E08.649 is utilized in SOAP notes to document the patient's symptoms, assessment, and treatment plan. This code is relevant in both acute and chronic care settings, ensuring that healthcare providers accurately capture the patient's condition and facilitate appropriate management strategies.

What Does ICD-10 Code E08.649 for Diabetes due to underlying condition w hypoglycemia w/o coma Mean in SOAP Notes?

In SOAP notes, ICD-10 Code E08.649 connects subjective patient reports and objective clinical findings to a formal diagnosis. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting electronic health record documentation standards.

Treatment Options for ICD-10 Code E08.649 – Diabetes due to underlying condition w hypoglycemia w/o coma

Management of diabetes due to an underlying condition with hypoglycemia requires a multifaceted approach, often necessitating hospitalization for stabilization.

Antibiotic Therapy:

  • Not applicable as this condition is not infectious.

Supportive Care:

  • Immediate glucose administration (oral or IV) to correct hypoglycemia.
  • Monitoring of blood glucose levels to prevent recurrence.
  • Education on recognizing hypoglycemic symptoms.

Infection Control:

  • Not applicable as this condition is not infectious.

How to Document Symptoms of Diabetes due to underlying condition w hypoglycemia w/o coma (ICD-10 E08.649) in SOAP Notes

Subjective:

  • Patient reports episodes of dizziness and sweating.
  • History of recent weight loss and increased thirst.
  • Patient has a known underlying condition affecting glucose metabolism.

Objective:

  • Blood glucose level recorded at 45 mg/dL.
  • Vital signs: BP 110/70 mmHg, HR 88 bpm.
  • Physical exam shows diaphoresis and tremors.
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SOAP Note Guidelines for Diagnosing Diabetes due to underlying condition w hypoglycemia w/o coma (ICD-10 Code E08.649)

Assessment:

  • Diagnosis: Diabetes due to underlying condition with hypoglycemia without coma, moderate severity.
  • ICD-10 Code: E08.649.
  • Contributing factors include poor dietary management and underlying endocrine disorder.

Plan:

  • Administer glucose to correct hypoglycemia.
  • Educate patient on dietary modifications and hypoglycemia management.
  • Schedule follow-up appointment to monitor blood glucose levels.

Treatment & Plan Section for ICD-10 Code E08.649 – Diabetes due to underlying condition w hypoglycemia w/o coma

  • First-line treatment includes glucose administration for hypoglycemia.
  • Non-pharmacologic strategies involve dietary counseling and lifestyle modifications.
  • Monitoring practices include regular blood glucose checks and patient education.
  • Follow-up appointments are essential for ongoing management and adjustment of treatment plans.

Using ICD-10 Code E08.649 for Diabetes due to underlying condition w hypoglycemia w/o coma in Billing & SOAP Note Compliance

  • Select accurate subcodes based on the severity of hypoglycemia.
  • Document symptoms clearly under Subjective (S) and Objective (O) in SOAP notes.
  • Ensure treatment plans align with clinical guidelines to support justified billing.
  • Commonly billed CPT codes include evaluation and management services related to diabetes care.

ICD-10 Code E08.649 in Medical Billing and Insurance for Diabetes due to underlying condition w hypoglycemia w/o coma

ICD-10 Code E08.649 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

  • Ensure documentation includes detailed patient history and clinical findings.
  • Use this code in settings where hypoglycemia is a significant concern.
  • Highlight any underlying conditions that contribute to the diabetes diagnosis.

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, moderate complexity.
83036Hemoglobin A1c test for diabetes management.
99406Smoking cessation counseling visit.

Frequently Asked Questions

Common Questions About Using ICD-10 Code E08.649 for Diabetes due to underlying condition w hypoglycemia w/o coma

What are the common causes of diabetes due to underlying conditions?

Common causes include endocrine disorders such as Cushing's syndrome, chronic pancreatitis, and certain medications that affect insulin secretion or action.

How is hypoglycemia managed in patients with this condition?

Management involves immediate glucose administration, monitoring blood glucose levels, and educating patients on recognizing symptoms of hypoglycemia.

When should ICD-10 Code E08.649 be used?

This code should be used when documenting diabetes that is secondary to another medical condition, particularly when hypoglycemic episodes occur without coma.

What is the importance of accurate coding for this condition?

Accurate coding is essential for proper diagnosis, treatment planning, billing, and ensuring appropriate healthcare resource allocation.

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