E16.1

Billable

Other hypoglycemia

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

This code describes low blood sugar levels that are not caused by diabetes or insulin use. It can result from conditions like liver disease, hormonal imbalances, or certain medications.

Coding Tips

•Verify the cause of hypoglycemia is documented and not related to diabetes (which would use E10-E14 codes) or insulin administration
•Review the clinical documentation to ensure the hypoglycemia is not drug-induced or secondary to another documented condition, as this may require additional coding

Excludes 1 — Do NOT code together

diabetes with hypoglycemia (E08.649, E10.649, E11.649, E13.649)
hypoglycemia in infant of diabetic mother (P70.1)
neonatal hypoglycemia (P70.4)

Use Additional Code

code for hypoglycemia level, if applicable (E16.A-)

Code Hierarchy

└E16Other disorders of pancreatic internal secretion └E16.1Other hypoglycemia

└E16.1Other hypoglycemia