ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesE13.641

E13.641

Billable

Other specified diabetes mellitus with hypoglycemia with coma

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E13.641 is a billable code used to indicate a diagnosis of other specified diabetes mellitus with hypoglycemia with coma.

Key Diagnostic Point:

E13.641 refers to a specific type of diabetes mellitus that is not classified as Type 1 or Type 2 but presents with significant complications, particularly hypoglycemia leading to coma. This condition can arise from various underlying causes, including medication-induced hypoglycemia, inadequate dietary intake, or other metabolic disorders. Patients may experience symptoms such as confusion, seizures, or loss of consciousness due to critically low blood glucose levels. The management of this condition often involves careful monitoring of blood glucose levels, adjustment of insulin or other hypoglycemic agents, and immediate intervention to restore normal glucose levels. The presence of coma indicates a severe state requiring urgent medical attention, often necessitating hospitalization for stabilization and further evaluation of the underlying diabetes management plan. The complexity of managing such cases lies in the need for a comprehensive understanding of the patient's diabetes history, medication regimen, and potential complications, making accurate coding essential for appropriate treatment and reimbursement.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between types of diabetes mellitus
  • Identifying the cause of hypoglycemia
  • Documenting the severity of the coma
  • Understanding the patient's medication history

Audit Risk Factors

  • Inadequate documentation of hypoglycemia episodes
  • Failure to specify the type of diabetes
  • Lack of clarity on the patient's medication regimen
  • Insufficient detail on the patient's clinical status during the coma

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed history of diabetes management, medication adjustments, and patient education on hypoglycemia.

Common Clinical Scenarios

Patients presenting with recurrent hypoglycemia, those on insulin therapy, and patients with complex diabetes management.

Billing Considerations

Endocrinologists must ensure comprehensive documentation of all diabetes-related complications and treatment plans.

Emergency Medicine

Documentation Requirements

Immediate assessment findings, treatment provided during the emergency, and follow-up care plans.

Common Clinical Scenarios

Patients presenting to the ER with altered mental status due to hypoglycemia.

Billing Considerations

Emergency physicians should document the timeline of events leading to the coma and any interventions performed.

Coding Guidelines

Inclusion Criteria

Use E13.641 When
  • According to ICD
  • 10 coding guidelines, E13
  • 641 should be used when the patient has other specified diabetes mellitus with documented hypoglycemia leading to coma
  • It is essential to ensure that the documentation supports the diagnosis and that the hypoglycemic event is clearly linked to the diabetes management plan

Exclusion Criteria

Do NOT use E13.641 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99285CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents with hypoglycemia and coma requiring immediate intervention.

Documentation Requirements

Document the patient's presenting symptoms, assessment findings, and treatment provided.

Specialty Considerations

Emergency physicians should ensure that all interventions and patient responses are thoroughly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, improving the accuracy of diagnoses and treatment plans. E13.641 provides a clear framework for documenting complex cases of diabetes with hypoglycemia and coma.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, improving the accuracy of diagnoses and treatment plans. E13.641 provides a clear framework for documenting complex cases of diabetes with hypoglycemia and coma.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Diabetes Association

Coding & Billing References

  • •
    American Diabetes Association

Frequently Asked Questions

What is the significance of coding E13.641?

E13.641 is crucial for accurately representing cases of diabetes with severe complications, ensuring appropriate treatment and reimbursement.