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/toxicityClick Expand to show legacy content.
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| Category/Organ System: |
Category: Poisoning (old) |
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Type: |
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| Main Diagnosis: | Hypoglycemics (oral or insulin) |
| Sub Diagnosis: |
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| Diagnosis Code: | 46100 - Hypoglycemics (oral or insulin)
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| Comorbid Diagnosis: | No |
| Charlson Comorbid coding (pre ICD10): | 0 |
| Program: | CC & Med |
| Status: | Currently Collected
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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.
- 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)
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)
- don't understand this question?
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.