Hypoglycemics (oral or insulin): Difference between revisions

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Please have a look if I summarized that right or am missing something important now.
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*46102 - accidental
*46102 - accidental
*46103 - iatrogenic | No | 0 | CC & Med | Currently Collected |  | }}
*46103 - iatrogenic | No | 0 | CC & Med | Currently Collected |  | }}
Poisoning with 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.


===Hypoglycemics (oral or insulin) - HYPOGLYCEMICS (oral or insulin) - 46100 ===
===Hypoglycemics (oral or insulin) - HYPOGLYCEMICS (oral or insulin) - 46100 ===
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*** would it not always be one of the subcodes? Ttenbergen 09:42, 2017 June 21 (CDT)
*** 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 ===
e.g. suicide attempt
e.g. suicide attempt


===Hypoglycemics (oral or insulin) - Accidental/toxicity - 46102 ===
===Hypoglycemics (oral or insulin) - Accidental/toxicity - 46102 ===
Don't use, use [[Insulin Shock]] instead.
Patient "accidentally"  took to much oral med or insulin.
*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
 
{{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 [[User:GHall|GHall]] 11:43, 2015 July 17 (CDT)
**How about leaving it in with oral only in brackets as it does not apply to Insulin?--[[User:CMarks|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 ===
===Hypoglycemics (oral or insulin) - Iatrogenic - 46103 ===
when patient is inadvertently given too much Insulin by a health care provider.
when patient is inadvertently given too much Insulin by a health care provider.
{{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.


[[Category: Hypoglycemia]]
[[Category: Hypoglycemia]]

Revision as of 09:47, 21 June 2017

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.


edit dx infobox
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


Poisoning with 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.

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

Template: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

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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