E16.0

E16.0: Drug-induced hypoglycemia without coma

Billable / specific codeICD-10-CM

E16.0 is a billable, specific ICD-10-CM code for drug-induced hypoglycemia without coma. It is valid for submission on a claim.

Check E16.0 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

diabetes with hypoglycemia without coma (E09.649)

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code for hypoglycemia level, if applicable (E16.A-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

E16.0 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56421Billing and Coding: CT of the Abdomen and Pelvis
A56686Billing and Coding: HbA1c
A57361Billing and Coding: Monitored Anesthesia Care

Alphabetic index entries that lead here

Hypoglycemia›drug-induced
Hypoglycemia›due to insulin
Hypoglycemia›iatrogenic
Reaction›hypoglycemic, due to insulin

Code history

Unchanged in every release from FY2024 to FY2027.