Medium chain acyl-CoA dehydrogenase. Hypoglycemia in patients without diabetes < 55 mg/dL symptoms of hypoglycemia [3] Whipple triad [4] [5] Low blood glucose levels. Abstract. The administration of biotin 10 mg/day provides a dramatic and sustained improvement. This is the American ICD-10-CM version of E11. 65 became effective on October 1, 2023. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This is the American ICD-10-CM version of E10. ICD-10-CM/PCS MS-DRG v40. The parents of an affected individual are typically heterozygotes (i. ketotic diabetic hyperosmolar coma was also excluded. All ketotic hypoglycemic children developed symptomatic hypoglycemia (33±3 mg/100 ml) and ketosis (β-OHB, 3. KH is referenced in the Human Phenotype Ontology (HPO) as HP:0012734, a sign of other known rare diseases [5, 6]. Clinical finding 404684003. 1 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. 0 became effective on October 1, 2023. This group, known as the glycine cleavage. 3 g/kg (10-20g) of rapidly absorbed carbohydrate. ICD-10-CM Range D50-D89. Luckily it often disappears with age. Severe hypoglycemia: Dizziness, fatigue, weakness, headaches, inability to concentrate, confusion, slurred speech, blurred vision, seizures, and coma. 9 - other international versions of ICD-10 E11. Previous Code: E88. But severe variants, sometimes affecting several family members. Congenital hyperinsulinism is the most common and severe cause of persistent hypoglycemia in neonates and children. 01. Nonketotic hyperglycinemia (NKH) is an inherited (genetic) condition that prevents your baby’s body from breaking down a substance called glycine in the blood. After an IV line is secured, a 20 mL/kg bolus of normal saline (5% dextrose/0. BILLABLE | ICD-10 from 2011 - 2016. Typical patients are usually chronic drinkers who are unable to tolerate oral nutrition for a 1 to 3 day period. This disorder classically manifests itself between the ages of 18 months and 5 years, and generally remits spontaneously before 8 or 9 years of age. The glucose level at which an individual becomes symptomatic is highly. Applicable To. 1] Reason for Referral and Clinical Findings Pre-ReferralFY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. E16. ICD-10-CM Diagnosis Code E11. Other disorders of pancreatic internal secretion (E16) Hypoglycemia, unspecified (E16. 4 Other Neonatal Hypoglycemia. ↓ See below for any exclusions, inclusions or special notationsAHRQ QI™ Proposed Coding for ICD-10-CM/PCS Specification PQI #1 Diabetes Short-Term Complications Admission Rate of November 2013. 0 contain annotation back-references that may be applicable to E11. 65 became effective on October 1, 2023. doi: 10. Considered an inevitable (though modifiable) part of diabetes therapy, hypoglycemia occurs fairly often, in both type 1 and type 2 diabetes, in patients on oral hypoglycemic agents and insulin, and in indoor as well as. Glucose supply and metabolism are of central importance for growth and normal brain development in the fetus and newborn. 65 - other international versions of. After phenylketonuria, glycine encephalopathy is the second most common disorder of amino acid metabolism. However, some more severe phenotypes with pronounced hypoglycemia, marked hepatomegaly, liver adenomas, liver fibrosis, muscular hypotonia, and post-prandial lactic acid elevation have been described [10, 11]. Despite hypoglycemia is one of the most common emergencies in neonatal age and childhood, no consensus on the definition and diagnost. If you have hypoglycemia symptoms, do the following: Eat or drink 15 to 20 grams of fast-acting carbohydrates. Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism. The 2024 edition of ICD-10-CM E11. 65 - other international versions of. E13. 641 in processing claims, check the. 0 became effective on October 1, 2023. Although biochemical features of hypoglycemia are useful tools to undercover the. ICD 10 codes in the ICD-10-CM and ICD-10-PCS replace and update all three. ICD-9-CM 251. This article is being revised in order to adhere to CMS requirements per chapter 13, section 13. Hypoglycemia Nursing Care Plan 1. 4% of all significant hypoglycemic. In most medical contexts, the term diabetic coma refers to the diagnostical dilemma. If the changes are unilateral, then they are contralateral to the symptomatic side 2 . These can happen quickly and can become dangerous. E11. Compensated coexistent. First, the symptoms may be vague and nonspecific, thus making diagnosis particularly dependent on a high index of suspicion. 01 became effective on October 1, 2023. health care setting. E11. This is the American ICD-10-CM version of Y92. 2 g/kg (2 mL/kg of 10% dextrose) is given to restore euglycemia. 8 is a billable diagnosis code used to specify type 2 diabetes mellitus with unspecified complications. 2021 Dec 15;12 (12):2036-2049. E72. Long periods of fasting should be avoided. H40. Volume resuscitation: fluid deficit often 6-10 liters. (See Epidemiology. A 'billable code' is detailed enough to be used to specify a medical diagnosis. Hypoglycaemia means low blood glucose levels. E72. Wang Chinese Neurosurgical Journal (2017) 3:16 Page 2 of 4. 64 Type 2 diabetes mellitus with. 10 Type 1 diabetes mellitus with ketoacidosis without coma 250. Hyperplasia of pancreatic islet beta cells NOS. For Whipple's triad, the practitioner must first recognize. 1111/j. All neoplasms, whether functionally active or not. NKH is inherited in an autosomal recessive manner. 00113. When overnight feeds are stopped, fasting ketotic hypoglycemia and irritability before breakfast commonly occur. Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC). Therefore, before establishing a diagnosis of hypoglycemia in neonates, infants, and children, it is essential to confirm low PG concentration using a. Being short of breath. ICD-9-CM 251. 45% saline/10% glucose (for instructions to make this solution click here). The 2024 edition of ICD-10-CM E13. There are no effective treatment strategies that alter the natural history of nonketotic hyperglycinemia. Hyperglycemic hyperosmolar non-ketotic (HHNK) syndrome is thought to be a rare entity in the pediatric population, associated with significant mortality based on case reports in the literature. Objective: The objective of the study was to study a pair of homozygotic twin boys, one of whom had severe KH from the age of 14 months, whereas the other boy was. The 2024 edition of ICD-10-CM E11. Other related topics include:Severe, non-fasting and non-ketotic hypoglycaemia should always be identified and investigated further. Hypoglycemia is often defined by a plasma glucose concentration below 70 mg/dL; however, signs and symptoms may not occur until plasma glucose concentrations drop below 55 mg/dL. ICD-10-CM Codes. Other biochemical features include elevated hepatic transaminases, hyperlipidemia and low prealbumin level . This is the American ICD-10-CM version of D72. Unstable Blood Glucose Level. But if it goes below the healthy range and is not treated, it can get dangerous. E11 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. This is the American ICD-10-CM version of E11. ICD-9-CM 251. 9, to enhance healthcare accuracy and patient outcomes. ICD-9-CM 251. 64X 6th character required: E11. Severe hypokalemia and severe hypoglycemia are associated with higher hospital mortality in patients with hyperglycemic crises. Ketotic hypoglycemia (KH) can be caused by a range of metabolic and hormonal diseases, including glycogen storage disease (GSD) type 0, III, VI and IX, and growth hormone or cortisol deficiency. Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC). How I manage keto and hypoglycemia. There is a classical form of NKH and a variant form of NKH. T2/FLAIR: variable but generally hypointense. Ketotic Hypoglycemia Diagnosis | : Ich Tue Mein Bestes Ich Und Du Bilder Ich Will Einen Mann Der Weiß Was Er Will Ich War Noch Niemals In New York Deutsches Theater Validity Of Icd 10 Cm Codes For Determination Of Diabetes Type For Persons With Youth Onset Type 1 And Type 2 Diabetes Bmj Open Diabetes. Type 1 diabetes mellitus without complications. Ketotic hypoglycemia is the most common type of hypoglycemia in toddlers, caused by low blood sugar and high ketones after fasting or illness. 0 Definitions Manual. HHNS can affect both types of diabetics, yet it usually occurs amongst. ICD-10-CM Code for Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E08. Figure 1. 0 : E00-E89. Ketotic hypoglycaemia is the most common form of childhood hypoglycaemia. E11. Respiratory chain defects. Adherence to these guidelines when assigning ICD-10-CM diagnosis and procedure codes is required under the Health Insurance Portability and Accountability Act. Immediate hypoglycemia treatment. Nursing Diagnosis: Unstable Blood Glucose Level related to insufficient checking of blood sugar levels and lack of compliance to proper diabetes management secondary to hypoglycemia as evidenced by fatigue and tremors. with coma E13. Thus, treatment focuses on reducing plasma glycine concentration by initiating sodium benzoate therapy and utilizing N-methyl-D-aspartate receptor site antagonists (i. Nursing Diagnosis: Unstable Blood Glucose Level related to insufficient checking of blood sugar levels and lack of compliance to proper diabetes management secondary to hypoglycemia as evidenced by fatigue and tremors. Ketotic hypoglycaemia is the most common cause of hypoglycaemia under 2 year of age. 0 may differ. NKH is inherited in an autosomal recessive manner. For claims with a date of service on or after October. Gartner's duct. Hypoglycemia is a clinical situation characterized by a reduction in plasma glucose concentration to a level that may induce symptoms or signs such as altered mental status and/or sympathetic nervous system stimulation. 641 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Hyperosmolar hyperglycemic state ( HHS ), also known as hyperosmolar non-ketotic state ( HONK ), is a complication of diabetes mellitus in which high blood sugar results in high osmolarity without significant ketoacidosis. o Give 0. 2x Secondary diabetes mellitus with hyperosmolarity;. 02 (hcc 19) dm , type ii, without mention of complication,. After the bolus is administered, an IV infusion that matches normal hepatic glucose production (approximately 5-8 mg/kg/min in an infant and about 3-5 mg/kg/min in. Introduction. Glucose supply and metabolism are of central importance for growth and normal brain development in the fetus and newborn. Ketotic hypoglycemia. 5–6years old and typically occurs after a period of poor food intake. F. The latest version of ICD-10. 641: Type 1 diabetes mellitus with hypoglycemia with coma. Drug or chemical induced diabetes mellitus with hypoglycemia with coma E10. This is the American ICD-10-CM version of E11. HHS is more often seen in people with type 2. Ketotic hypoglycemia. Here’s what I did: Instead of eating 6 – 7 “mini meals” per day to “prevent” my blood sugar from dropping, I began eating 3 large meals each day, and snacking if and when needed. The ICD code E162 is used to code Hypoglycemia. The 2024 edition of ICD-10-CM E11. There are no large studies looking at the value of common laboratory testing in children presenting with KH or how often other diagnoses are made. E11. 195 The syndrome can thus develop in patients with insulin-dependent, ketosis-prone type 1 diabetes. 9 is a valid billable ICD-10 diagnosis code for Type 2 diabetes mellitus without complications . Functional nonhyperinsulinemic hypoglycemia. 10. The main etiological causes are metabolic and/or endocrine and/or other congenital disorders. The acute treatment principle includes administration of high glycemic index (i. Originally described by Colle and Ulstrom in 1964, IKH is defined by periodic episodes of hypoglycemia, associated with ketonuria, in an. Citation, DOI, disclosures and article data. 9. DRG 639 DIABETES WITHOUT CC/MCC. Developmental Regression / Cognitive Impairment [ICD-9 Codes: 331. Metabolic encephalopathy is a rare but potentially devastating complication of diabetic ketoacidosis (DKA). 649 became effective on October 1, 2023. DRG 638 DIABETES WITH CC. 1. 11 Drug or chemical induced diabetes mellitus with ketoacidosis with coma. Type 1 diabetes mellitus with hypoglycemia without coma: E10. 641 - other international versions of ICD-10 E11. Disorder of glucose regulation 237597000. 45% saline/10% glucose to correct the deficit within 24 hours Recheck the electrolytes every 24 hours if still on IV fluids. T2/FLAIR: subcortical regions of hypointensity 6-9. ICD-10 codes covered if selection criteria are met: E08. Typically the children were `dysmature' at birth, with a history suggesting hypoglycaemia in the first 36 hours of life, and they have remained small and thin. 00 became effective on October 1, 2023. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . The main etiological causes are metabolic and/or endocrine and/or other congenital disorders. E72. 9. 2) seen at the ED between 1/92 and 8/95. 69 - other international versions of ICD-10 E10. This article contains an exhaustive list of the ICD-10 codes used most frequently in the treatment of type 1 and type 2 diabetes. 649) Use Additional. 65 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 9 in processing claims, check the following: — See. The classical form is then further divided into severe. Prevalence of hypoglycemia among population seeking care in our ED was 6. Billable Thru Sept 30/2015. 00: Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC). Abstract. A. Idiopathic ketotic hypoglycemia is most commonly seen in children 1–4 years old during an illness that results in prolonged fasting. 2) E16. 2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. Sugar is the best treatment. 9 mmol/L) [1] [2] 54–70 mg/dL. 4% of all significant hypoglycemic. , dextromethorphan, oral ketamine) to reduce glycinergic stimulation. Ketotic hypoglycemia is a medical term used in two ways: (1) broadly, to refer to any circumstance in which low blood glucose is accompanied by ketosis, and (2) in a much more restrictive way to refer to recurrent episodes of hypoglycemic symptoms with ketosis and, often, vomiting, in young children. Patients with plasma glucose concentrations of 25 – 40 mg/dL, however, can be relatively asymptomatic because increased plasma ketones, formed from fatty acid oxidation, provide the brain with an alternative fuel. Growth hormone deficiency. The 2024 edition of ICD-10-CM H40. Short description: Oth diabetes mellitus with hyperosmolarity with coma The 2024 edition of ICD-10-CM E13. The most common causes are diabetes mellitus and idiopathic ketotic hypoglycaemia (IKH) but a number of endocrine disorders and inborn errors of metabolism (IEMs) need. Short description: Oth spcf hypoglycemia. Idiopathic ketotic hypoglycemia (IKH) is an important cause of emergent hypoglycemia among children. The symptoms and signs of hypoglycemia are often overlooked because they mimic signs of other common. Hypoglycemia is the most common metabolic disturbance occurring in the neonatal period. 9. E11. Code Classification: Endocrine, nutritional and metabolic diseases (E00–E90) Diabetes mellitus (E08-E13) Type 2 diabetes mellitus (E11) E11. Conditions to consider in the differential diagnosis of hypoglycemia include the following: Adrenal insufficiency - Primary adrenal disease (Addison disease); ACTH deficiency. 4 are the smaller of non-identical twins. In. Idiopathic ketotic hypoglycemia (IKH) is an important cause of emergent hypoglycemia among. The aims of this case report are to highlight metabolic encephalopathy as a complication of DKA and to explore the. E72. This was the first year ICD-10-CM was implemented into the HIPAA code. The 2024 edition of ICD-10-CM E10. KH is a common symptom of fasting hypoglycaemia in children. Ketotic Hypoglycemia (Fasting/Starvation) – most common cause Transient Neonatal Hypoglycemia Hyperinsulinism (transient and. There are no large studiesHypoglycemia is the result of defects/impairment in glucose homeostasis. This is the American ICD-10-CM version of E13. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). AND ICD-9-CM/ICD-10-CM CODING. [1][2][3] Current screening. E72. E72. 9 mmol/L; betahydroxybutyrate was up to 5. Center for. During an episode of hypoglycemia, there’s not enough glucose in the blood. Type 1 diabetes mellitus with hypoglycemia with coma: E10649: Type 1 diabetes mellitus with hypoglycemia without coma: E1065: Type 1 diabetes mellitus with hyperglycemia: E1069: Type 1 diabetes mellitus with other specified complication: E108: Type 1 diabetes mellitus with unspecified complications: E109: Type 1 diabetes mellitus without. 5. [2,3] Hyperglycemia, [4–8] ischemia, [9,10] and micro-hemorrhage [3,11] may. Type 2 Diabetes Mellitus With Hyperglycemia. 3. 18 Therefore, a common metabolic pathway leading to. 649 without coma. 1 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. Clinical Outcomes in Patients With Isolated or Combined Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State: A Retrospective, Hospital-Based Cohort Study. 01. We studied two children with recurrent episodes of nonketotic hypoglycemia who were found to have systemic carnitine deficiency without myopathy or encephalopathy. Context: Childhood ketotic hypoglycemia (KH) is a disease characterized by fasting hypoglycemia and increased levels of ketone bodies. The 2024 edition of ICD-10-CM E11. 00 ICD-10 code E11. HHNS is diagnosed based on symptoms and by measuring blood glucose levels, which can be performed with a finger stick. Desired Outcome: The patient must have a blood. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . Hypoglycemia is the result of defects/impairment in glucose homeostasis. < 54 mg/dL. E13. 10 - other international versions of ICD-10 E11. ICD-10-CM Range D50-D89. Ketotic Hyperglycinemia (NKH), Homocystinuria, Lysinuric Protein intolerance. Replete with 1L/hr x 2-4 hours to start. Short description: OTH SPCF HYPOGLYCEMIA. Type 2 diab w hyprosm w/o nonket hyprgly-hypros coma (NKHHC); Diabetes type 2 with hyperosmolarity; Hyperosmolarity without nonketotic hyperglycemic hyperosmolar coma due to type 2 diabetes mellitus. 70±0. 83] [ICD-10 Codes: G31. Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC). e. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . Unspecified glaucoma. 819. The causes and management of neonatal hyperglycemia are reviewed here. 5. Figure 1. 00 Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma. 9. A patient with recurrent convulsions in childhood and associated ketotic hypoglycaemia is described. Hypoglycemia is a common complication in patients with diabetes, mainly in those treated with insulin, sulfonylurea, or glinide. The 2024 edition of ICD-10-CM E11. ICD-10 Look Up. 9 became effective on October 1, 2023. Objectives To examine the clinical presentations and. 39 Diabetes mellitus due to underlying condition with other diabetic. Learn how to recognize, diagnose, treat, and prevent ketotic hypoglycemia, and what causes it in some children. After validation, 10 patients (7. ↓ See below for any exclusions, inclusions or special notations. For infants < 1 year, 10 ml/kg of formula or expressed breast milk (may breastfeed while obtaining glucose-containing fluids) For patients > 1 year, 0. ICD-10 officially replaced ICD-9 in the US in October of 2015. Our body uses glucose for energy which we get from our diet and any excess is stored in the liver and stored fat. 00: Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC). x. Appropriate investigation of the etiology and simultaneous management in children with hypoglycemia is paramount to prevent (irreversible) brain injury or even death (), although controversy remains on the definition (e. 10. The alteration of biochemical pathways involving carbohydrate, protein and lipid metabolism often leads to an impairment of glucose homeostasis (1–3). Search Results. A type 1 excludes note indicates that the code excluded should never be used at the same time as E13. ICD-10 codes refer to the codes from the 10th Revision of the classification system. 2. Hypoglycemia, also known as low blood sugar or low blood glucose, is when blood sugar decreases to below normal levels. Short-term treatment of hypoglycemia consists of an intravenous (IV) bolus of dextrose 10% 2. Type 2 diabetes mellitus with hypoglycemia without coma. Diabetes is a common condition, afflicting > 20% of the American population over the age of 60 years. Neurological complications of diabetes include stroke, peripheral neuropathy, epileptic seizures, etc. 9 - other international versions of ICD-10 H40. In most cases, after other endocrine. The main etiological causes are metabolic and/or endocrine and/or other congenital disorders. Hyperinsulinism NOS. 1, 2 A larger part of KH patients have idiopathic KH, a diagnosis of exclusion believed to represent a genetic and clinical heterogeneous disease entity. In systemic carnitine deficiency, an early phase of nonketotic hypoglycemia and liver dysfunction may precede a late phase of encephalopathy and myopathy. dextrose-rich) foods or drinks to provide energy from glucose metabolism instead of fatty acid metabolism which leads to further. 51 is a valid billable ICD-10 diagnosis code for Non-ketotic hyperglycinemia . Insulinoma is a type of functional neuroendocrine tumor (NET) that manifests with hypoglycemia caused by inappropriately high insulin secretion. 65 is a valid billable ICD-10 diagnosis code for Other specified diabetes mellitus with hyperglycemia . 649 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 9% NaCl) is given over a period of an hour. 9 - other international versions of ICD-10 H40. Previous Code: E11. Signs or symptoms consistent with hypoglycemia (see “Clinical. Pediatr Rev (1989) 11 (4): 117–124. 52 ICD-10-CM Guideline: Causal relationship presumed with diabetes unless documentation states unrelated. T1 : hyperintense. Glucose concentrations ranged 1. E11. ICD-10-CM Coding Rules. ICD-10-CM Code. This is the American ICD-10-CM version of H40. Convert to ICD-10-CM: 251. The E11. In the last 6 months, he was consuming 120-140 g of ethanol every day. E72. About 80 percent of cases result from mutations in the GLDC gene, while AMT gene mutations cause about 20 percent of all cases. Introduction: Idiopathic ketotic hypoglycemia (KH) is the most common cause of hypoglycemia in non-diabetic children ages 0. 1. This case highlights the dramatic cognitive decline of a young man due to metabolic encephalopathy complicating DKA. Introduction Idiopathic ketotic hypoglycemia (KH) is the most common cause of hypoglycemia in non-diabetic children ages 0. Introduction. 1 of the Program Integrity Manual, to remove all coding from LCDs and incorporate into related Billing and Coding Articles. 1111/j. If the changes are unilateral, then they are contralateral to the symptomatic side 2 . ↓ See below for any exclusions, inclusions or special notations. ICD-9-CM 251. This is the American ICD-10-CM version of Z86. A blood glucose level of 600 mg/dL and low ketone levels are the main factors for diagnosis of HHNS. 10 may differ. Nonketotic hyperosmolar coma usually occurs in older persons with diabetes, 121,184,187,188 but it has been seen in the very young. E16. Drug/chem diab w hyprosm w/o nonket hyprgly-hypros coma; Drug induced diabetes with hyperosmolarity; Hyperosmolarity co-occurrent and due to drug induced diabetes mellitus; Hyperosmolarity without nonketotic hyperglycemic hyperosmolar coma due to drug induced diabetes mellitusHypoglycaemia is a BGL low enough to cause signs and/or symptoms of impaired brain function and neurogenic response - generally BGL <3. Therefore, GSD VI and GSD IX should be added to the differential diagnosis of ketotic normoglycemia, and KB concentrations should be routinely measured in ketotic. 1 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. This was the first year ICD-10-CM was implemented into the HIPAA code set. 2024 ICD-10-CM Diagnosis Code E13. 641 is a valid billable ICD-10 diagnosis code for Diabetes mellitus due to underlying condition with hypoglycemia with coma . [2] Hyperosmolar nonketotic coma (usually type 2) in which an extremely high blood sugar level and dehydration alone are sufficient to cause unconsciousness. 69 - other international versions of ICD-10 E11. The causes and management of neonatal hyperglycemia are reviewed here. [ 13, 14] Two patients presented with focal motor seizures, two with myoclonic jerks, and one with generalized tonic-clonic seizures. E72. This is the American ICD-10-CM version of E13. Hepatic glycogen synthase deficiency: an infrequently recognized cause of ketotic hypoglycemia. The disease is caused by defects in the glycine cleavage system, an enzyme responsible for glycine catabolism. E11. Gastralgia - see also Pain, abdominal. nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E13. MRI of the brain is the modality of choice for assessing possible non-ketotic hyperglycaemic hemichorea and typically demonstrates signal changes, particularly in the putamen and/or caudate 1-3. Context: Childhood ketotic hypoglycemia (KH) is a disease characterized by fasting hypoglycemia and increased levels of ketone bodies. 10 Diabetes with ketoacidosis, type II or unspecified type, not stated as uncontrolled E10. Hyperglycemic hyperosmolar non-ketotic (HHNK) syndrome is thought to be a rare entity in the pediatric population, associated with significant mortality based on case reports in the literature. Short description: Diabetes due to underlying condition w hypoglycemia w/o coma The 2024 edition of ICD-10-CM E08. Ketotic hypoglycemia is a condition characterized by low blood sugar (glucose) and elevated ketones, typically occurring after fasting, like sleeping overnight. 1 should only be used for claims with a date of service on or before September 30, 2015.