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) (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 (old)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.

• • • 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? 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. --LKolesar 11:34, 2017 June 28 (CDT)

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

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.