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E16.1 ICD-10-CM Code: Other hypoglycemia

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
4 inclusion terms · 3 Excludes1 · 1 use-additional code

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.

  • MS-DRG 643 — ENDOCRINE DISORDERS WITH MCC (MDC 10)
  • MS-DRG 644 — ENDOCRINE DISORDERS WITH CC (MDC 10)
  • MS-DRG 645 — ENDOCRINE DISORDERS WITHOUT CC/MCC (MDC 10)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for E16.1 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Functional hyperinsulinism
  • Functional nonhyperinsulinemic hypoglycemia
  • Hyperinsulinism NOS
  • Hyperplasia of pancreatic islet beta cells NOS

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code for hypoglycemia level, if applicable (E16.A-)

Coder workflow for E16.1

MedCoder structured workflow — derived from this code’s own official record

Before you code E16.1

  1. “Other” (NEC) means the condition is specified in the record but no dedicated code captures it. Confirm the documented form is not one a sibling code names before settling on E16.1; if the record states no specifics at all, the unspecified sibling applies instead. “Other” codes are for documented conditions the classification gives no specific code; “unspecified” codes are for records lacking the detail (Guidelines I.A.9.a, I.A.9.b).

    ReviewE16.0, E16.3, E16.4, E16.A

    See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →

  2. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with E16.1. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in E16.1’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewE08.649, E10.649, E11.649, E13.649, P70.1, P70.4

Consider E16.1. Then work the Use Additional Code note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The conditions the Use Additional Code note names
Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.
Any detail beyond this code’s title
What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.

Official instructions as workflow

  • Excludes1 — check before selecting E16.1(3 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with E16.1: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareE08.649, E10.649, E11.649, E13.649, P70.1, P70.4

    See the official tabular notes · Guidelines I.A.12.a

  • Use Additional Code — after identifying E16.1(1 note)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with E16.1 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

    ReviewE16.A

    See the official tabular notes · Guidelines I.A.13

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition E16.1 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewE08.649, E10.649, E11.649, E13.649, P70.1, P70.4

Documentation: A condition the Use Additional Code note names is documented.

Coding question: Is a second code reported with E16.1?

Path: Review the Use Additional Code note and the code it names.

Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).

ReviewE16.A

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Other hypoglycemia is a billable ICD-10-CM diagnosis code (E16.1).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (9)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name E16.1 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Code First instruction: G63 — Polyneuropathy in diseases classified elsewhere (via E16.-).

Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 3 MS-DRGs: DRG 643 (MDC 10), DRG 644 (MDC 10), DRG 645 (MDC 10).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):END015 — Other specified and unspecified endocrine disorders (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Other specified and unspecified endocrine disorders).

A18.7 — Tuberculosis of adrenal glands, A18.82 — Tuberculosis of other endocrine glands, A39.1 — Waterhouse-Friderichsen syndrome, E15 — Nondiabetic hypoglycemic coma, E16.0 — Drug-induced hypoglycemia without coma, E16.2 — Hypoglycemia, unspecified, E16.3 — Increased secretion of glucagon, E16.4 — Increased secretion of gastrin, E16.8 — Other specified disorders of pancreatic internal secretion, E16.9 — Disorder of pancreatic internal secretion, unspecified, E16.A1 — Hypoglycemia level 1, E16.A2 — Hypoglycemia level 2, E16.A3 — Hypoglycemia level 3, E20.0 — Idiopathic hypoparathyroidism, E20.1 — Pseudohypoparathyroidism, E20.8 — Other hypoparathyroidism, E20.810 — Autosomal dominant hypocalcemia, E20.811 — Secondary hypoparathyroidism in diseases classified elsewhere, E20.812 — Autoimmune hypoparathyroidism, E20.818 — Other specified hypoparathyroidism due to impaired parathyroid hormone secretion, +83 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Hyperplasia, hyperplastic”, “Encephalopathy”, “Hypoglycemia”; these codes share that main term but sit in a different category of the Tabular List.

A52.17 — General paresis (in, syphilis), A81.09 — Other Creutzfeldt-Jakob disease (spongiform, subacute), D18.01 — Hemangioma of skin and subcutaneous tissue (angiolymphoid, eosinophilia), D49.9 — Neoplasm of unspecified behavior of unspecified site (in, neoplastic disease), D75.89 — Other specified diseases of blood and blood-forming organs (erythroid), E07.0 — Hypersecretion of calcitonin (C-cell, thyroid), E15 — Nondiabetic hypoglycemic coma (coma), E21.0 — Primary hyperparathyroidism (parathyroid), E25.0 — Congenital adrenogenital disorders associated with enzyme deficiency (adrenal, congenital), E25.9 — Adrenogenital disorder, unspecified (adrenal, with, virilization), E27.5 — Adrenomedullary hyperfunction (adrenomedullary), E27.8 — Other specified disorders of adrenal gland (adrenal), E32.0 — Persistent hyperplasia of thymus (thymus), E51.2 — Wernicke's encephalopathy (Wernicke's), E52 — Niacin deficiency [pellagra] (pellagrous), E53.9 — Vitamin B deficiency, unspecified (vitamin B deficiency NEC), E56.9 — Vitamin deficiency, unspecified (in, lack of vitamin), E71.19 — Other disorders of branched-chain amino-acid metabolism (leucine-induced), E89.830 — Post bariatric hypoglycemia (post bariatric), E89.838 — Other postprocedural hypoglycemia (postprocedural), +87 more

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

HbA1c Test (Glycated Hemoglobin), Blood Glucose Test

Contextual Map

Every relationship of E16.1 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run E16.1 with these 8 related codes in Claim Check

Hierarchy

Excludes1

Use Additional Code

  • E16.A — Hypoglycemia level[Use Additional Code]: “code for hypoglycemia level, if applicable (E16.A-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Index manifestation

Referenced by Code First instructions

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 10 — Endocrine, Nutritional and Metabolic Diseases and Disorders[MDC crossing]: “Endocrine, Nutritional and Metabolic Diseases and Disorders — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 5,008 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Index entries (9)

  • Encephalopathy (acute), in (due to) (with), hyperinsulinism[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Encephalopathy (acute), posthypoglycemic (coma)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Hyperinsulinism (functional)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Hyperinsulinism (functional), ectopic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Hyperinsulinism (functional), with, encephalopathy[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Hyperplasia, hyperplastic, pancreatic islet cells, beta[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Hypoglycemia (spontaneous), functional, nonhyperinsulinemic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Hypoglycemia (spontaneous), infantile[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • and 1 more

Nearest codes (11)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "E16.1 — Other hypoglycemia." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/e16.1-other-hypoglycemia

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Other hypoglycemia

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to E16.1 in its code family, with their registry titles.

View all codes in the E16 family