2019 ICD-10-CM Diagnosis Code E08.649

Diabetes mellitus due to underlying condition with hypoglycemia without coma

    2016 2017 2018 2019 Billable/Specific Code Manifestation Code
  • E08.649 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Diabetes due to underlying condition w hypoglycemia w/o coma
  • The 2019 edition of ICD-10-CM E08.649 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of E08.649 - other international versions of ICD-10 E08.649 may differ.
ICD-10-CM Coding Rules
  • E08.649 describes the manifestation of an underlying disease, not the disease itself.
The following code(s) above E08.649 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to E08.649:
  • E00-E89
    2019 ICD-10-CM Range E00-E89

    Endocrine, nutritional and metabolic diseases

    Note
    • All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.
    Type 1 Excludes
    • transitory endocrine and metabolic disorders specific to newborn (P70-P74)
    Endocrine, nutritional and metabolic diseases
  • E08
    ICD-10-CM Diagnosis Code E08

    Diabetes mellitus due to underlying condition

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Code First
    • the underlying condition, such as:
    • congenital rubella (P35.0)
    • Cushing's syndrome (E24.-)
    • cystic fibrosis (E84.-)
    • malignant neoplasm (C00-C96)
    • malnutrition (E40-E46)
    • pancreatitis and other diseases of the pancreas (K85-K86.-)
    Type 1 Excludes
    • drug or chemical induced diabetes mellitus (E09.-)
    • gestational diabetes (O24.4-)
    • neonatal diabetes mellitus (P70.2)
    • postpancreatectomy diabetes mellitus (E13.-)
    • postprocedural diabetes mellitus (E13.-)
    • secondary diabetes mellitus NEC (E13.-)
    • type 1 diabetes mellitus (E10.-)
    • type 2 diabetes mellitus (E11.-)
    Use Additional
    • code to identify control using:
    • insulin (Z79.4)
    • oral antidiabetic drugs (Z79.84)
    • oral hypoglycemic drugs (Z79.84)
    Diabetes mellitus due to underlying condition
ICD-10-CM E08.649 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 008 Simultaneous pancreas and kidney transplant
  • 010 Pancreas transplant
  • 637 Diabetes with mcc
  • 638 Diabetes with cc
  • 639 Diabetes without cc/mcc

Convert E08.649 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to E08.649:
  • Type 1 Excludes: E16.1
    , E16.2
    ICD-10-CM Diagnosis Code E16.1

    Other hypoglycemia

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Functional hyperinsulinism
    • Functional nonhyperinsulinemic hypoglycemia
    • Hyperinsulinism NOS
    • Hyperplasia of pancreatic islet beta cells NOS
    Type 1 Excludes
    ICD-10-CM Diagnosis Code E16.2

    Hypoglycemia, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Type 1 Excludes

Diagnosis Index entries containing back-references to E08.649:
  • Diabetes, diabetic (mellitus) (sugar) E11.9
    ICD-10-CM Diagnosis Code E11.9

    Type 2 diabetes mellitus without complications

      2016 2017 2018 2019 Billable/Specific Code Questionable As Admission Dx

ICD-10-CM Codes Adjacent To E08.649
E08.62 Diabetes mellitus due to underlying condition with skin complications
E08.620 Diabetes mellitus due to underlying condition with diabetic dermatitis
E08.621 Diabetes mellitus due to underlying condition with foot ulcer
E08.622 Diabetes mellitus due to underlying condition with other skin ulcer
E08.628 Diabetes mellitus due to underlying condition with other skin complications
E08.63 Diabetes mellitus due to underlying condition with oral complications
E08.630 Diabetes mellitus due to underlying condition with periodontal disease
E08.638 Diabetes mellitus due to underlying condition with other oral complications
E08.64 Diabetes mellitus due to underlying condition with hypoglycemia
E08.641 …… with coma
E08.649 …… without coma
E08.65 Diabetes mellitus due to underlying condition with hyperglycemia
E08.69 Diabetes mellitus due to underlying condition with other specified complication
E08.8 Diabetes mellitus due to underlying condition with unspecified complications
E08.9 Diabetes mellitus due to underlying condition without complications
E09 Drug or chemical induced diabetes mellitus
E09.0 Drug or chemical induced diabetes mellitus with hyperosmolarity
E09.00 …… without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E09.01 …… with coma
E09.1 Drug or chemical induced diabetes mellitus with ketoacidosis
E09.10 …… without coma

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.