Is E16.A a billable ICD-10-CM code?

No. E16.A is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does E16.A sit in the tabular list?

Endocrine, nutritional and metabolic diseases (E00-E89), in the block Other disorders of glucose regulation and pancreatic internal secretion (E15-E16).

E16.A

E16.A — Hypoglycemia level

Non-billable headerICD-10-CM

E16.A is a non-billable header ICD-10-CM code for hypoglycemia level. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

E16.A does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead E16.A

3 child codes. Green means billable.

E16.A1Hypoglycemia level 1
E16.A2Hypoglycemia level 2
E16.A3Hypoglycemia level 3

Related codes at this level

Codes that share E16. If E16.A is not quite right, the correct code is usually one of these.

E16.0Drug-induced hypoglycemia without coma
E16.1Other hypoglycemia
E16.2Hypoglycemia, unspecified
E16.3Increased secretion of glucagon
E16.4Increased secretion of gastrin
E16.8Other specified disorders of pancreatic internal secretion
E16.9Disorder of pancreatic internal secretion, unspecified

Questions about E16.A

Is E16.A a billable ICD-10-CM code?: No. E16.A is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does E16.A sit in the tabular list?: Endocrine, nutritional and metabolic diseases (E00-E89), in the block Other disorders of glucose regulation and pancreatic internal secretion (E15-E16).