E89.838 ICD-10-CM Code: Other postprocedural hypoglycemia
Compare with another codeCheck this code on a claim
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 1 inclusion term · 1 Excludes2 · 1 use-additional code
Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.
What you need to know
Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too; the Instructions section marks which is which.
- Use additional codeReport with this code when documented
- code, if known, for hypoglycemia level (E16.A-)
- Excludes2Not included here; may be reported together
- intraoperative complications of endocrine system organ or structure (E36.0-, E36.1-, E36.8)
- IncludesWhat this code covers
- Post Nissen fundoplication hypoglycemia
Most relevant related codes MedCoder-derived
Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.
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 v44, Appendix B.
- MS-DRG 919 — COMPLICATIONS OF TREATMENT WITH MCC (MDC 21)
- MS-DRG 920 — COMPLICATIONS OF TREATMENT WITH CC (MDC 21)
- MS-DRG 921 — COMPLICATIONS OF TREATMENT WITHOUT CC/MCC (MDC 21)
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 E89.838 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026
Trace:FY2027 changesChange historyRelease, file and checksum
Notes without a marker are published on E89.838 itself; “inherited from” names the category or block whose note applies here.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Post Nissen fundoplication hypoglycemia
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- intraoperative complications of endocrine system organ or structure (E36.0-, E36.1-, E36.8) Compare E89.838 vs E36.0 →
Source: inherited from E89
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code, if known, for hypoglycemia level (E16.A-)
Source: inherited from E89.83
Coder workflow for E89.838
MedCoder structured workflow — derived from this code’s own official record
Before you code E89.838
- “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 E89.838; 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).
ReviewE89.830
See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →
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
Excludes2 — not part of E89.838(1 note)
Coding workflow: The conditions named in this note are not included in E89.838. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
See the official tabular notes · Guidelines I.A.12.b
Use Additional Code — after identifying E89.838(1 note)
Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with E89.838 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: A condition the Use Additional Code note names is documented.
Coding question: Is a second code reported with E89.838?
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.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
- CC as a secondary diagnosis (FY2027). Can raise the stay's MS-DRG severity tier.
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-derived relationships — computed from published CMS and AHRQ datasets
Other codes that name E89.838 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 12 Excludes2 notes across 3 chapters: E36 — Intraoperative complications of endocrine system (via E89.-), T80 — Complications following infusion, transfusion and therapeutic injection (via E89.-), T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88) (via E89.-), T81 — Complications of procedures, not elsewhere classified (via E89.-), T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts (via E89.-), T83 — Complications of genitourinary prosthetic devices, implants and grafts (via E89.-), T84 — Complications of internal orthopedic prosthetic devices, implants and grafts (via E89.-), T85 — Complications of other internal prosthetic devices, implants and grafts (via E89.-), T86 — Complications of transplanted organs and tissue (via E89.-), T87 — Complications peculiar to reattachment and amputation (via E89.-), T88 — Other complications of surgical and medical care, not elsewhere classified (via E89.-), Z90 — Acquired absence of organs, not elsewhere classified (via E89.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
FY2027 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 26 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 3 MS-DRGs: DRG 919 (MDC 21), DRG 920 (MDC 21), DRG 921 (MDC 21).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Related Codes
Same clinical process (MS-DRG)
Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.
E36.8 — Other intraoperative complications of endocrine system, E89.810 — Postprocedural hemorrhage of an endocrine system organ or structure following an endocrine system procedure, E89.811 — Postprocedural hemorrhage of an endocrine system organ or structure following other procedure, E89.820 — Postprocedural hematoma of an endocrine system organ or structure following an endocrine system procedure, E89.821 — Postprocedural hematoma of an endocrine system organ or structure following other procedure, E89.822 — Postprocedural seroma of an endocrine system organ or structure following an endocrine system procedure, E89.823 — Postprocedural seroma of an endocrine system organ or structure following other procedure, E89.830 — Post bariatric hypoglycemia, E89.89 — Other postprocedural endocrine and metabolic complications and disorders, H95.811 — Postprocedural stenosis of right external ear canal, H95.812 — Postprocedural stenosis of left external ear canal, H95.813 — Postprocedural stenosis of external ear canal, bilateral, H95.819 — Postprocedural stenosis of unspecified external ear canal, H95.88 — Other intraoperative complications and disorders of the ear and mastoid process, not elsewhere classified, H95.89 — Other postprocedural complications and disorders of the ear and mastoid process, not elsewhere classified, I97.3 — Postprocedural hypertension, M96.89 — Other intraoperative and postprocedural complications and disorders of the musculoskeletal system, N98.1 — Hyperstimulation of ovaries, N98.2 — Complications of attempted introduction of fertilized ovum following in vitro fertilization, N98.3 — Complications of attempted introduction of embryo in embryo transfer, +5 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Hypoglycemia”; these codes share that main term but sit in a different category of the Tabular List.
E15 — Nondiabetic hypoglycemic coma (coma), E16.0 — Drug-induced hypoglycemia without coma (iatrogenic), E16.1 — Other hypoglycemia (reactive), E16.2 — Hypoglycemia, unspecified, E16.A1 — Hypoglycemia level 1 (level, 1), E16.A2 — Hypoglycemia level 2 (level, 2), E16.A3 — Hypoglycemia level 3 (level, 3), E71.19 — Other disorders of branched-chain amino-acid metabolism (leucine-induced), P70.0 — Syndrome of infant of mother with gestational diabetes (in infant of diabetic mother, gestational diabetes), P70.1 — Syndrome of infant of a diabetic mother (in infant of diabetic mother), P70.3 — Iatrogenic neonatal hypoglycemia (neonatal, iatrogenic), P70.4 — Other neonatal hypoglycemia (neonatal), Z71.3 — Dietary counseling and surveillance (dietary counseling and surveillance)
Contextual Map
Every relationship of E89.838 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 E89.838 with these 8 related codes in Claim Check
Hierarchy
- E00-E89 — Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E89) (E00-E89)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- E89-E89 — Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Referenced by Excludes2 notes (12)
- E36 — Intraoperative complications of endocrine system[Excludes2](via E89.-): “postprocedural endocrine and metabolic complications and disorders, not elsewhere classified (E89.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T80 — Complications following infusion, transfusion and therapeutic injection[Excludes2](via E89.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88)[Excludes2](via E89.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T81 — Complications of procedures, not elsewhere classified[Excludes2](via E89.-): “intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts[Excludes2](via E89.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T83 — Complications of genitourinary prosthetic devices, implants and grafts[Excludes2](via E89.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T84 — Complications of internal orthopedic prosthetic devices, implants and grafts[Excludes2](via E89.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T85 — Complications of other internal prosthetic devices, implants and grafts[Excludes2](via E89.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- and 4 more
MS-DRG Grouper
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2027
- DRG 919 — COMPLICATIONS OF TREATMENT WITH MCC[MS-DRG]: “COMPLICATIONS OF TREATMENT WITH MCC (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 920 — COMPLICATIONS OF TREATMENT WITH CC[MS-DRG]: “COMPLICATIONS OF TREATMENT WITH CC (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 921 — COMPLICATIONS OF TREATMENT WITHOUT CC/MCC[MS-DRG]: “COMPLICATIONS OF TREATMENT WITHOUT CC/MCC (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
MDC crossing
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs[MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — 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. 32,063 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027
Index entries
- Hypoglycemia (spontaneous), post Nissen fundoplication[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Hypoglycemia (spontaneous), postprocedural[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
Nearest codes (22)
- E89 — Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- E89.0 — Postprocedural hypothyroidism[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- E89.1 — Postprocedural hypoinsulinemia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- E89.2 — Postprocedural hypoparathyroidism[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- E89.3 — Postprocedural hypopituitarism[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- E89.4 — Postprocedural ovarian failure[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- E89.40 — Asymptomatic postprocedural ovarian failure[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- E89.41 — Symptomatic postprocedural ovarian failure[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- and 14 more
Change history
- FY2027 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10cm-fy2027
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Indexed Clinical Terms (2)
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.
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 FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 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 — v44 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-derived 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 editorial 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.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 20, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
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. "E89.838 — Other postprocedural hypoglycemia." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/e89.838-other-postprocedural-hypoglycemia
Change history
Changed in FY2027, the release in force: Added to the code set.
- FY2027 — October 1, 2026Added to the code setOther postprocedural hypoglycemiaFY2027 changes
Nearest Codes in This Family
Official ICD-10-CM classifications closest to E89.838 in its code family, with their registry titles.
- E89.810 — Postprocedural hemorrhage of an endocrine system organ or structure following an endocrine system procedure
- E89.811 — Postprocedural hemorrhage of an endocrine system organ or structure following other procedure
- E89.82 — Postprocedural hematoma and seroma of an endocrine system organ or structure
- E89.820 — Postprocedural hematoma of an endocrine system organ or structure following an endocrine system procedure
- E89.821 — Postprocedural hematoma of an endocrine system organ or structure following other procedure
- E89.822 — Postprocedural seroma of an endocrine system organ or structure following an endocrine system procedure
- E89.823 — Postprocedural seroma of an endocrine system organ or structure following other procedure
- E89.83 — Postprocedural hypoglycemia following a procedure
- E89.830 — Post bariatric hypoglycemia
- E89.89 — Other postprocedural endocrine and metabolic complications and disorders