E13.649 — Other specified diabetes mellitus with hypoglycemia without coma
Is E13.649 billable?
Yes, but E13.649 is an unspecified code. E13.649 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, E13.649 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting E13.649 — the more specific alternatives are listed below.
More specific alternatives
E13.649 at a glance
| Code | E13.649 |
|---|---|
| Description | Other specified diabetes mellitus with hypoglycemia without coma |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does E13.649 group to?
E13.649 sits in MDC Pre and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 008Simultaneous Pancreas, Islet Cell and Kidney Transplantsurgical
How is E13.649 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to E13.649. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Diabetes, diabetic › specified type NEC › with › hypoglycemia (mellitus) (sugar)
Excludes1 — never code together — inherited from Chapter 4
The conditions below can never be reported together with E13.649 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- transitory endocrine and metabolic disorders specific to newborn (P70-P74)
Excludes1 — never code together — inherited from E13
The conditions below can never be reported together with E13.649 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- diabetes (mellitus) due to autoimmune process (E10.-)
- diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction (E10.-)
- diabetes mellitus due to underlying condition (E08.-)
- drug or chemical induced diabetes mellitus (E09.-)
- gestational diabetes (O24.4-)
- neonatal diabetes mellitus (P70.2)
- type 1 diabetes mellitus (E10.-)
Use additional code — inherited from E13
Report an additional code alongside E13.649 to fully describe the condition. E13.649 is sequenced first.
Use additional code — inherited from E13.64
Report an additional code alongside E13.649 to fully describe the condition. E13.649 is sequenced first.
- code for hypoglycemia level, if applicable (E16.A-)
How long has E13.649 existed?
E13.649 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.