2023 ICD-10-CM Diagnosis Code E89.1

Postprocedural hypoinsulinemia

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • E89.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM E89.1 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of E89.1 - other international versions of ICD-10 E89.1 may differ.
Applicable To
  • Postpancreatectomy hyperglycemia
  • Postsurgical hypoinsulinemia
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code, if applicable, to identify:
  • acquired absence of pancreas (
    ICD-10-CM Diagnosis Code Z90.41

    Acquired absence of pancreas

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Code Also
    • exocrine pancreatic insufficiency (K86.81)
    Use Additional
    • code to identify any associated:
    • diabetes mellitus, postpancreatectomy (E13.-)
    • insulin use (Z79.4)
    Z90.41-
    )
  • diabetes mellitus (postpancreatectomy) (postprocedural) (
    ICD-10-CM Diagnosis Code E13
    • E13 Other specified diabetes mellitus
      • E13.0 Other specified diabetes mellitus with hypero...
        • E13.00 Other specified diabetes mellitus with hypero...
        • E13.01 Other specified diabetes mellitus with hypero...
      • E13.1 Other specified diabetes mellitus with ketoac...
        • E13.10 Other specified diabetes mellitus with ketoac...
        • E13.11 Other specified diabetes mellitus with ketoac...
      • E13.2 Other specified diabetes mellitus with kidney...
        • E13.21 Other specified diabetes mellitus with diabet...
        • E13.22 Other specified diabetes mellitus with diabet...
        • E13.29 Other specified diabetes mellitus with other ...
      • E13.3 Other specified diabetes mellitus with ophtha...
        • E13.31 Other specified diabetes mellitus with unspec...
          • E13.311 Other specified diabetes mellitus with unspec...
          • E13.319 Other specified diabetes mellitus with unspec...
        • E13.32 Other specified diabetes mellitus with mild n...
          • E13.321 Other specified diabetes mellitus with mild n...
            • E13.3211 Other specified diabetes mellitus with mild n...
            • E13.3212 Other specified diabetes mellitus with mild n...
            • E13.3213 Other specified diabetes mellitus with mild n...
            • E13.3219 Other specified diabetes mellitus with mild n...
          • E13.329 Other specified diabetes mellitus with mild n...
            • E13.3291 Other specified diabetes mellitus with mild n...
            • E13.3292 Other specified diabetes mellitus with mild n...
            • E13.3293 Other specified diabetes mellitus with mild n...
            • E13.3299 Other specified diabetes mellitus with mild n...
        • E13.33 Other specified diabetes mellitus with modera...
          • E13.331 Other specified diabetes mellitus with modera...
            • E13.3311 Other specified diabetes mellitus with modera...
            • E13.3312 Other specified diabetes mellitus with modera...
            • E13.3313 Other specified diabetes mellitus with modera...
            • E13.3319 Other specified diabetes mellitus with modera...
          • E13.339 Other specified diabetes mellitus with modera...
            • E13.3391 Other specified diabetes mellitus with modera...
            • E13.3392 Other specified diabetes mellitus with modera...
            • E13.3393 Other specified diabetes mellitus with modera...
            • E13.3399 Other specified diabetes mellitus with modera...
        • E13.34 Other specified diabetes mellitus with severe...
          • E13.341 Other specified diabetes mellitus with severe...
            • E13.3411 Other specified diabetes mellitus with severe...
            • E13.3412 Other specified diabetes mellitus with severe...
            • E13.3413 Other specified diabetes mellitus with severe...
            • E13.3419 Other specified diabetes mellitus with severe...
          • E13.349 Other specified diabetes mellitus with severe...
            • E13.3491 Other specified diabetes mellitus with severe...
            • E13.3492 Other specified diabetes mellitus with severe...
            • E13.3493 Other specified diabetes mellitus with severe...
            • E13.3499 Other specified diabetes mellitus with severe...
        • E13.35 Other specified diabetes mellitus with prolif...
          • E13.351 Other specified diabetes mellitus with prolif...
            • E13.3511 Other specified diabetes mellitus with prolif...
            • E13.3512 Other specified diabetes mellitus with prolif...
            • E13.3513 Other specified diabetes mellitus with prolif...
            • E13.3519 Other specified diabetes mellitus with prolif...
          • E13.352 Other specified diabetes mellitus with prolif...
            • E13.3521 Other specified diabetes mellitus with prolif...
            • E13.3522 Other specified diabetes mellitus with prolif...
            • E13.3523 Other specified diabetes mellitus with prolif...
            • E13.3529 Other specified diabetes mellitus with prolif...
          • E13.353 Other specified diabetes mellitus with prolif...
            • E13.3531 Other specified diabetes mellitus with prolif...
            • E13.3532 Other specified diabetes mellitus with prolif...
            • E13.3533 Other specified diabetes mellitus with prolif...
            • E13.3539 Other specified diabetes mellitus with prolif...
          • E13.354 Other specified diabetes mellitus with prolif...
            • E13.3541 Other specified diabetes mellitus with prolif...
            • E13.3542 Other specified diabetes mellitus with prolif...
            • E13.3543 Other specified diabetes mellitus with prolif...
            • E13.3549 Other specified diabetes mellitus with prolif...
          • E13.355 Other specified diabetes mellitus with stable...
            • E13.3551 Other specified diabetes mellitus with stable...
            • E13.3552 Other specified diabetes mellitus with stable...
            • E13.3553 Other specified diabetes mellitus with stable...
            • E13.3559 Other specified diabetes mellitus with stable...
          • E13.359 Other specified diabetes mellitus with prolif...
            • E13.3591 Other specified diabetes mellitus with prolif...
            • E13.3592 Other specified diabetes mellitus with prolif...
            • E13.3593 Other specified diabetes mellitus with prolif...
            • E13.3599 Other specified diabetes mellitus with prolif...
        • E13.36 Other specified diabetes mellitus with diabet...
        • E13.37 Other specified diabetes mellitus with diabet...
          • E13.37X1 Other specified diabetes mellitus with diabet...
          • E13.37X2 Other specified diabetes mellitus with diabet...
          • E13.37X3 Other specified diabetes mellitus with diabet...
          • E13.37X9 Other specified diabetes mellitus with diabet...
        • E13.39 Other specified diabetes mellitus with other ...
      • E13.4 Other specified diabetes mellitus with neurol...
        • E13.40 Other specified diabetes mellitus with diabet...
        • E13.41 Other specified diabetes mellitus with diabet...
        • E13.42 Other specified diabetes mellitus with diabet...
        • E13.43 Other specified diabetes mellitus with diabet...
        • E13.44 Other specified diabetes mellitus with diabet...
        • E13.49 Other specified diabetes mellitus with other ...
      • E13.5 Other specified diabetes mellitus with circul...
        • E13.51 Other specified diabetes mellitus with diabet...
        • E13.52 Other specified diabetes mellitus with diabet...
        • E13.59 Other specified diabetes mellitus with other ...
      • E13.6 Other specified diabetes mellitus with other ...
        • E13.61 Other specified diabetes mellitus with diabet...
          • E13.610 Other specified diabetes mellitus with diabet...
          • E13.618 Other specified diabetes mellitus with other ...
        • E13.62 Other specified diabetes mellitus with skin c...
          • E13.620 Other specified diabetes mellitus with diabet...
          • E13.621 Other specified diabetes mellitus with foot u...
          • E13.622 Other specified diabetes mellitus with other ...
          • E13.628 Other specified diabetes mellitus with other ...
        • E13.63 Other specified diabetes mellitus with oral c...
          • E13.630 Other specified diabetes mellitus with period...
          • E13.638 Other specified diabetes mellitus with other ...
        • E13.64 Other specified diabetes mellitus with hypogl...
          • E13.641 Other specified diabetes mellitus with hypogl...
          • E13.649 Other specified diabetes mellitus with hypogl...
        • E13.65 Other specified diabetes mellitus with hyperg...
        • E13.69 Other specified diabetes mellitus with other ...
      • E13.8 Other specified diabetes mellitus with unspec...
      • E13.9 Other specified diabetes mellitus without com...
    E13.-
    )
  • insulin use (
    ICD-10-CM Diagnosis Code Z79.4

    Long term (current) use of insulin

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    Type 2 Excludes
    • long-term (current) use of injectable non-insulin antidiabetic drugs (Z79.85)
    • long term (current) use of oral antidiabetic drugs (Z79.84)
    • long term (current) use of oral hypoglycemic drugs (Z79.84)
    Z79.4
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as E89.1. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • transient postprocedural hyperglycemia (
    ICD-10-CM Diagnosis Code R73.9

    Hyperglycemia, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    R73.9
    )
  • transient postprocedural hypoglycemia (
    ICD-10-CM Diagnosis Code E16.2

    Hypoglycemia, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Type 1 Excludes
    E16.2
    )
The following code(s) above E89.1 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 E89.1:
  • E00-E89
    2023 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
  • E89
    ICD-10-CM Diagnosis Code E89

    Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • intraoperative complications of endocrine system organ or structure (E36.0-, E36.1-, E36.8)
    Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified
Approximate Synonyms
  • Hypoinsulinemia, postsurgical
  • Post-surgical hypoinsulinemia
ICD-10-CM E89.1 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 008 Simultaneous pancreas and kidney transplant
  • 010 Pancreas transplant
  • 019 Simultaneous pancreas and kidney transplant with hemodialysis
  • 640 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
  • 641 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc

Convert E89.1 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
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to E89.1:
  • Type 1 Excludes: R73
    ICD-10-CM Diagnosis Code R73

    Elevated blood glucose level

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • diabetes mellitus (E08-E13)
    • diabetes mellitus in pregnancy, childbirth and the puerperium (O24.-)
    • neonatal disorders (P70.0-P70.2)
    • postsurgical hypoinsulinemia (E89.1)

Diagnosis Index entries containing back-references to E89.1:
  • Complication(s) (from) (of)
    • endocrine E34.9
      ICD-10-CM Diagnosis Code E34.9

      Endocrine disorder, unspecified

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      Applicable To
      • Endocrine disturbance NOS
      • Hormone disturbance NOS
    • surgical procedure (on) T81.9
      ICD-10-CM Diagnosis Code T81.9

      Unspecified complication of procedure

        2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
      • hyperglycemia E89.1 (postpancreatectomy)
      • hypoinsulinemia E89.1 (postpancreatectomy)
  • Hyperglycemia, hyperglycemic (transient) R73.9
    ICD-10-CM Diagnosis Code R73.9

    Hyperglycemia, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • postpancreatectomy E89.1
  • Hypoinsulinemia, postprocedural E89.1
  • Postpancreatectomy hyperglycemia E89.1
  • Postprocedural - see also Postoperative
    • hypoinsulinemia E89.1

ICD-10-CM Codes Adjacent To E89.1
E88.40 Mitochondrial metabolism disorder, unspecified
E88.41 MELAS syndrome
E88.42 MERRF syndrome
E88.49 Other mitochondrial metabolism disorders
E88.8 Other specified metabolic disorders
E88.81 Metabolic syndrome
E88.89 Other specified metabolic disorders
E88.9 Metabolic disorder, unspecified
E89 Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified
E89.0 Postprocedural hypothyroidism
E89.1 Postprocedural hypoinsulinemia
E89.2 Postprocedural hypoparathyroidism
E89.3 Postprocedural hypopituitarism
E89.4 Postprocedural ovarian failure
E89.40 Asymptomatic postprocedural ovarian failure
E89.41 Symptomatic postprocedural ovarian failure
E89.5 Postprocedural testicular hypofunction
E89.6 Postprocedural adrenocortical (-medullary) hypofunction
E89.8 Other postprocedural endocrine and metabolic complications and disorders
E89.81 Postprocedural hemorrhage of an endocrine system organ or structure following a procedure
E89.810 Postprocedural hemorrhage of an endocrine system organ or structure following an endocrine system procedure

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