Hypoglycemics (oral or insulin)

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

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Category/Organ System:	Category: Poisoning (old)
Type:	Category: Medical Problem (old)
Main Diagnosis:	Hypoglycemics (oral or insulin)
Sub Diagnosis:	HYPOGLYCEMICS (oral or insulin)-intentional HYPOGLYCEMICS (oral or insulin)-accidental HYPOGLYCEMICS (oral or insulin)-iatrogenic
Diagnosis Code:	46100 - Hypoglycemics (oral or insulin) 46101 - intentional 46102 - accidental 46103 - iatrogenic
Comorbid Diagnosis:	No
Charlson Comorbid coding (pre ICD10):	0
Program:	CC & Med
Status:	Currently Collected

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

• 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

e.g. suicide attempt

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

Don't use, use Insulin Shock instead.

• no this is not correct. 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

Template:Discussion So there would be no circumstances under which this code would be used any longer? If so we should inactivate, ie. make impossible to code in future.

• I use this code for metformin accidental toxicity GHall 11:43, 2015 July 17 (CDT)
  • How about leaving it in with oral only in brackets as it does not apply to Insulin?--CMarks 09:49, 2015 July 22 (CDT)
    • accidental mean just that, patient "accidentally" took to much oral med or insulin. It does happen.

Hypoglycemics (oral or insulin) - Iatrogenic - 46103

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

Template:Discuss@task Looks like we didn't clear this up as well as we thought at the last task meeting. May need to take it back there again.