ICD Code E16.1

ICD code E16.1 is low blood sugar (hypoglycemia) not caused by diabetes or medications, but by other factors.

1. Documented low blood glucose levels not caused by diabetes or diabetes treatment

2. Presence of symptoms such as sweating, shakiness, confusion, irritability, or palpitations

3. Hypoglycemic episodes not attributable to fasting, medication errors, or insulinoma

4. Exclusion of reactive, fasting, or drug-induced hypoglycemia

5. No evidence of underlying endocrine disorders such as adrenal insufficiency or pituitary dysfunction

6. Symptoms resolve with administration of glucose or carbohydrate

7. Recurrent episodes of unexplained hypoglycemia

Relevant CPT codes that may be used to treat ICD code E16.1 include:

- 82947 (Glucose; quantitative, blood [except reagent strip])

- 82948 (Glucose; blood, reagent strip)

- 82962 (Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use)

- 96365 (Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour)

- 96366 (Each additional hour)

- 99201–99215 (Evaluation and management services, new or established patient)

- 36415 (Collection of venous blood by venipuncture)

- 83036 (Hemoglobin; glycosylated [A1C])

These codes should be selected based on the specific services rendered in relation to E16.1.

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