Hypoglycemics (oral or insulin): Difference between revisions

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{{DX tag | Poisoning | [[:Category: Medical Problem | Medical Problem]]  | Hypoglycemics (oral or insulin) | HYPOGLYCEMICS (oral or insulin) | [[46100 - Hypoglycemics (oral or insulin)]] | No | 0 | CC & Med | Currently Collected |  | }}
{{PreICD10 dx | NewDxArticle = Insulin or other antidiabetes drug, overdose/toxicity }}


{{discussion}}
{{DX tag | Poisoning| Medical Problem | 46100 - Hypoglycemics (oral or insulin) |
Con pointed out that there are inconsistent coding practices re. the use of this dx and [[Insulin Shock]]. Con/Trish, could you explain and remind me where we left off? Ttenbergen 15:34, 2015 July 9 (CDT)
*46101 - HYPOGLYCEMICS (oral or insulin)-intentional
*Dr Garland felt that under poisoning, accidental or toxicity should not be used. We should be using [[Insulin Shock]].--[[User:CMarks|CMarks]] 07:41, 2015 July 13 (CDT)
*46102 - HYPOGLYCEMICS (oral or insulin)-accidental
*46103 - HYPOGLYCEMICS (oral or insulin)-iatrogenic
| Yes | No | 0 | CC & Med | Currently Collected |  | }}
 
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.
 
[[Category:Hypoglycemia]]