Hypoglycemics (oral or insulin): Difference between revisions

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m Text replacement - "Poisoning (old)" to "Poisoning"
 
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{{PreICD10 dx | NewDxArticle = Insulin or other antidiabetes drug, overdose/poisoning }}
{{PreICD10 dx | NewDxArticle = Insulin or other antidiabetes drug, overdose/toxicity }}


{{DX tag | Poisoning| Medical Problem | 46100 - Hypoglycemics (oral or insulin) |
*46101 - HYPOGLYCEMICS (oral or insulin)-intentional
*46102 - HYPOGLYCEMICS (oral or insulin)-accidental
*46103 - HYPOGLYCEMICS (oral or insulin)-iatrogenic
| Yes | No | 0 | CC & Med | Currently Collected |  | }}


{{DX tag | Poisoning (old)| Medical Problem | Hypoglycemics (oral or insulin) |
Poisoningwith hypoglycemics such as insulin, metformin, etc.
*HYPOGLYCEMICS (oral or insulin)-intentional
*HYPOGLYCEMICS (oral or insulin)-accidental
*HYPOGLYCEMICS (oral or insulin)-iatrogenic
* | 46100 - Hypoglycemics (oral or insulin)
*46101 - intentional
*46102 - accidental
*46103 - iatrogenic | No | 0 | CC & Med | Currently Collected |  | }}
 
Poisoning (old)with hypoglycemics such as insulin, metformin, etc.


=== vs [[Insulin Shock]] Dx ===  
=== vs [[Insulin Shock]] Dx ===  
Insulin shock can be used if patient goes into insulin shock however, in terms of too much MED,  we also want to try and discern if a problem occurred because too much insulin/metformin was intentional, accidental OR iatrogenic.
Insulin shock can be used if patient goes into insulin shock however, in terms of too much MED,  we also want to try and discern if a problem occurred because too much insulin/metformin was intentional, accidental OR iatrogenic.
***Am I understanding the above statement correctly? If a patient comes in profoundly hypoglycemic because they have taken their oral hypoglycemics/insulin, and then didn't or couldn't eat (e.g. ++ nausea and vomiting and couldn't keep down food), in addition to using insulin shock in the admit dx's, we should also enter poisoning-hypoglycemics (oral or insulin)-accidental/toxicity as well? [[User:DPageNewton|DPageNewton]] 14:26, 2017 June 26 (CDT)
 
***Insulin shock fits the bill for Debbie's question better than the poisoning code.  If you read the definition of insulin shock, the examples they give include the above scenario and it is the most common reason for hypoglycemia.  I think the poisoning code is more for scenarios where '''too much''' insulin or metformin is given or taken either intentionally, accidentally or iatrogenically. If a pt is too ill to eat, the dosage given was not the problem, just the fact that they cannot eat, so they go into insulin shock because of that.  --[[User:LKolesar|LKolesar]] 11:34, 2017 June 28 (CDT)
If the right/normal amount of medication was taken and then the pt could not eat, don't code this poisoning code, just code [[Insulin Shock]].


===Hypoglycemics (oral or insulin) - HYPOGLYCEMICS (oral or insulin) - 46100 ===
===Hypoglycemics (oral or insulin) - HYPOGLYCEMICS (oral or insulin) - 46100 ===
{{Discussion}}
* Do we need the base code of these? We may have existing entries for it, but should it be de-activated going forward?
** don't understand this question?
*** would it not always be one of the subcodes? Ttenbergen 09:42, 2017 June 21 (CDT)


===Hypoglycemics (oral or insulin) - Intentional - 46101 ===
===Hypoglycemics (oral or insulin) - Intentional - 46101 ===

Latest revision as of 15:09, 31 December 2018


Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Insulin or other antidiabetes drug, overdose/toxicity

Click Expand to show legacy content.

Poisoningwith hypoglycemics such as insulin, metformin, etc.

vs Insulin Shock Dx

Insulin shock can be used if patient goes into insulin shock however, in terms of too much MED, we also want to try and discern if a problem occurred because too much insulin/metformin was intentional, accidental OR iatrogenic.

If the right/normal amount of medication was taken and then the pt could not eat, don't code this poisoning code, just code Insulin Shock.

Hypoglycemics (oral or insulin) - HYPOGLYCEMICS (oral or insulin) - 46100

Hypoglycemics (oral or insulin) - Intentional - 46101

e.g. suicide attempt

Hypoglycemics (oral or insulin) - Accidental/toxicity - 46102

Patient "accidentally" took to much oral med or insulin.

Hypoglycemics (oral or insulin) - Iatrogenic - 46103

when patient is inadvertently given too much Insulin by a health care provider.

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