The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions. 69 became effective on October 1, 2023. Respiratory chain defects can also lead to hypoglycaemia during the. Our body uses glucose for energy which we get from our diet and any excess is stored in the liver and stored fat. Search. Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS), also known as Hyperosmolar Hyperglycaemic State (HHS) is a dangerous condition resulting from very high blood glucose levels. Prompt diagnosis and management of the underlying hypoglycemia disorder is critical for preventing brain damage and improving outcomes. 641 may differ. 2014. 00:. Unstable Blood Glucose Level. 2 g/kg (2 mL/kg of 10% dextrose) is given to restore euglycemia. Patients with insulinoma have hypoglycemic. Excluding such diagnoses, ketotic hypoglycemia after prolonged fasting in younger children has been categorized as idiopathic ketotic hypoglycemia (IKH) or accelerated starvation 10,11,12. Abstract. E72. E13. These can happen quickly and can become dangerous. Hyperglycemia, unspecified. 10 Diabetes with ketoacidosis, type II or unspecified type, not stated as uncontrolled E10. 2006;. 9 mmol/L; betahydroxybutyrate was up to 5. Idiopathic ketotic hypoglycemia (IKH) is an important cause of emergent hypoglycemia among. Congenital hyperinsulinism is the most common and severe cause of persistent hypoglycemia in neonates and children. A few miscellaneous. 65 became effective on October 1, 2023. Nausea. As obesity and type 2 diabetes in childhood grow in prevalence, such related complications may also increase. DRG 639 DIABETES WITHOUT CC/MCC. In neonates <48 hrs old, there is a lack of consensus on what constitutes normal BGL, however, BGL <2. It represents as many as 20 per cent of all cases of severe hyperglycemia and constitutes a life-threatening medical emergency; however, the absence of acidosis and the insidious presentation of the. Originally described by Colle and Ulstrom in 1964, IKH is defined by periodic episodes of hypoglycemia, associated with ketonuria, in an. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . Twenty cases of ketotic hypoglycaemia have been diagnosed in one medical unit in the past 8 years. diabetes with hypoglycemia without coma ( E09. For infants < 1 year, 10 ml/kg of formula or expressed breast milk (may breastfeed while obtaining glucose-containing fluids) For patients > 1 year, 0. 9. [ 1] It is a life-threatening emergency that, although less common than its counterpart, diabetic ketoacidosis (DKA), has a much higher mortality rate, reaching up to 5-10%. 65: Type 1 diabetes mellitus with hyperglycemia: E10. E11. 810 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. E09. 10 Drug or chemical induced diabetes mellitus with ketoacidosis without coma. The causes and management of neonatal hyperglycemia are reviewed here. 4% of all significant hypoglycemic. 65 is a valid billable ICD-10 diagnosis code for Other specified diabetes mellitus with hyperglycemia . This is normal. E11. 649 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Département médico-chirurgical de pédiatrie, Centre hospitalier universitaire vaudois, 1011 Lausanne, Suisse. D55-D59 Hemolytic anemias. The main etiological causes are metabolic and/or endocrine and/or other congenital disorders. E10. 2003 Jul;25 (1):39-43. E11. This was the first year ICD-10-CM was implemented into the HIPAA code set. 18 Therefore, a common metabolic pathway leading to. Hypoglycemia in neonates, infants and children should be considered a medical emergency that can cause seizures, permanent neurological injury, and in rare cases, death, if inadequately treated. Under normal conditions, glucose is the primary fuel for brain metabolism. In most cases, after other endocrine. 8 is a billable diagnosis code used to specify type 2 diabetes mellitus with unspecified complications. Ketotic Hypoglycemia Diagnosis | : Ich Tue Mein Bestes Ich Und Du Bilder Ich Will Einen Mann Der Weiß Was Er Will Ich War Noch Niemals In New York Deutsches Theater Validity Of Icd 10 Cm Codes For Determination Of Diabetes Type For Persons With Youth Onset Type 1 And Type 2 Diabetes Bmj Open Diabetes. 3 The failure to reduce insulin infusion rate and/or to use dextrose-containing solutions when blood glucose levels reach 250 mg/dl is the most important risk. 2. For Type 1 Diabetes, the pancreas don’t make insulin at all. SNOMED CT Concept 138875005. 8. 1111/j. 51 is a billable diagnosis code used to specify non-ketotic hyperglycinemia. J Pediatr. HHNS can affect both types of diabetics, yet it usually occurs amongst. A search of Orphanet for “idiopathic ketotic hypoglycemia” and “ketotic hypoglycemia” yielded neither an Orpha number, an Online Mendelian Inheritance in Man (OMIM) geno- or phenotype reference number, or an ICD-10 number. 1111/j. Overall, the T1 hyperintensity is the most consistent finding of. 5 mL/kg. You may browse the classification by using the hierarchy on the left or by using the search functionality. 251. Hypoketotic hypoglycemia affects your blood sugar (glucose) level and energy. It represents as many as 20 per cent of all cases of severe hyperglycemia and constitutes a life-threatening medical emergency; however, the absence of acidosis and the insidious presentation of the. 9 became effective on October 1, 2023. 4 Other Neonatal Hypoglycemia. 84]. This is the American ICD-10-CM version of E16. Icd 10 code for diabetes type 2 with hyperglycemia is a serious condition. Having calculated the deficit and the maintenance, administer the appropriate rate of 0. 3. Citation, DOI, disclosures and article data. This is the American ICD-10-CM version of H40. The mortality is high. 39 Diabetes mellitus due to underlying condition with other diabetic. Type 1 diabetes mellitus with hypoglycemia without coma. KH is referenced in the Human Phenotype Ontology (HPO) as HP:0012734, a sign of other known rare diseases [5, 6]. ICD-10-CM/PCS MS-DRG v37. Code Classification: Endocrine, nutritional and metabolic diseases (E00–E90) Diabetes mellitus (E08-E13) Type 2 diabetes mellitus (E11) E11. The critical sample should be drawn before the glucose is administered. Hyperosmolar non-ketotic state due to diabetes mellitus;. If you have hypoglycemia symptoms, do the following: Eat or drink 15 to 20 grams of fast-acting carbohydrates. The causes and management of neonatal hyperglycemia are reviewed here. Synonyms: amino acid above reference range, aminomethyltransferase deficiency,FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. 3. 3392) 4. A constant association of ketosis preceding symptoms and of low blood sugar values was noted. 2] [ICD-10 Code: E16. Hypoglycemia is often defined by a plasma glucose concentration below 70 mg/dL; however, signs and symptoms may not occur until plasma glucose concentrations drop below 55 mg/dL. Blood glucose levels below 50 mg per 100 mL (venous blood) usually indicate hypoglycemia in adults, whereas blood glucose values less than 40 mg per 100 mL indicate hypoglycemia in children. 89 (hysterical) Gardner-Diamond syndrome D69. Introduction: Idiopathic ketotic hypoglycemia (KH) is the most common cause of hypoglycemia in non-diabetic children ages 0. Yet, a clear definition of neonatal hypoglycemia is lacking. ICD-9-CM 251. 1 should only be used for claims with a date of service on or before September 30, 2015. The latest version of ICD-10. 65 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Other disorders of glucose regulation and pancreatic internal secretion. 9 - other international versions of ICD-10 E10. Disorders in glucose availability or utilization can result in hypoglycemia or hyperglycemia. 9% NaCl) is given over a period of an hour. 65 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Alcoholic ketoacidosis (AKA) is a clinical syndrome seen mostly in patients with chronic alcohol use disorder and frequently seen in patients who binge drink. Immediate hypoglycemia treatment. 01. Relative hypoglycemia occurs in situations where the blood sugar declines from an elevated level to a lower, but not too low, a level at a rate such that the brain reacts to this change. 65. This group, known as the glycine cleavage. The cause is unknown. 51 is a billable ICD code used to specify a diagnosis of non-ketotic hyperglycinemia. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . Idiopathic ketotic hypoglycemia (IKH) is an important cause of emergent hypoglycemia among children. The GLDC and AMT genes provide instructions for making enzymes that work together as a group. When using code E08. E72. This is the American ICD-10-CM version of E15 - other international versions of ICD-10 E15 may differ. ICD-10-CM Coding Rules MRI of the brain is the modality of choice for assessing possible non-ketotic hyperglycemic hemichorea and typically demonstrates signal changes, particularly in the putamen and/or caudate 1-3. In the United States, the. Growth hormone deficiency. Wang Chinese Neurosurgical Journal (2017) 3:16 Page 2 of 4. blogspot. 2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. KH is referenced in the Human Phenotype Ontology (HPO) as HP:0012734, a sign of other known rare diseases [5, 6]. Idiopathic ketotic hypoglycemia (IKH) is often relatively mild and may remain undiagnosed. Results: Thirty-one patients were identified. This is the American ICD-10-CM version of E11. < 54 mg/dL. The 2024 edition of ICD-10-CM Y92. detail work up of neonates having non ketotic hypoglycemia METHODS It is hospital based cross-sectional study carried out for one calendar year extending from 01. Whether you're a doctor, a medical director, a health insurance broker, or even a patient, these codes. E11 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 00:. Given these severe consequences, the prompt diagnosis and. health care setting. D50-D53 Nutritional anemias. E09. Hyperosmolar hyperglycemic state ( HHS ), also known as hyperosmolar non-ketotic state ( HONK ), is a complication of diabetes mellitus in which high blood sugar results in high osmolarity without significant ketoacidosis. 00 Drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) ICD-10-CM: E09. 9 - other international versions of ICD-10 E11. The switch to ICD-10 was a response to the need for doctors to record more specific and accurate diagnoses based on the most recent advancements in medicine. Since the first manifestation of the syndrome is classically that of new onset seizures, initial emergency department presentation is likely. Ketotic hypoglycaemia (KH) This leaflet gives more information about KH. Nonketotic Hyperglycinemia (NKH) is a genetic disorder characterized by abnormally high levels of glycine, an amino acid that is one of the “building blocks” of proteins. HHNS is diagnosed based on symptoms and by measuring blood glucose levels, which can be performed with a finger stick. Among non-diabetic children presenting to hospitals for treatment, idiopathic ketotic hypoglycemia (IKH) is considered the most common cause of hypoglycemia beyond infancy 1, 2. Hyperplasia of pancreatic islet beta cells NOS. 641 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. DRG 638. ICD-10-CM codes are used for a variety of purposes, including statistics and for billing and claims reimbursement. DRG. or very low (hypoglycemia). Hypoglycemic disorder 237630007. E13. T2/FLAIR: variable but generally hypointense. 64 Type 2 diabetes mellitus with hypoglycemia;. ICD-9-CM 251. 3 mmol/L). There are no large studies looking at the value of common laboratory testing in children presenting with KH or how often other diagnoses are made. 9 may differ. 1 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. Non-ketotic hyperglycinemia Billable Code. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM. All neoplasms, whether functionally active or not. If both parents are heterozygous. Timely diagnosis, comprehensive clinical and biochemical evaluation, and effective management is key to the successful resolution of DKA and. 5 mmol/L during hypoglycemia. Hyperglycemic hyperosmolar non-ketotic (HHNK) syndrome is thought to be a rare entity in the pediatric population, associated with significant mortality based on case reports in the literature. 00: Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E11. E11. KH is referenced in the Human Phenotype Ontology (HPO) as HP:0012734, a sign of other known rare diseases [5, 6]. Hypoglycemia Coma . 10–12 Signs and symptoms of hypoglycemia. All neoplasms, whether functionally active or not. 00: Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC). 620 Drug or chemical induced diabetes mellitus with diabetic dermatitis. 2005. Ketotic hypoglycemia 20825002. 9 is a valid billable ICD-10 diagnosis code for Type 2 diabetes mellitus without complications . Synonyms: amino acid above reference range, aminomethyltransferase deficiency,FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. ICD-10-CM Code. Disorientation. A feeling of hunger, sweating, shakiness. 649 is a valid billable ICD-10 diagnosis code for Other specified diabetes mellitus with hypoglycemia without coma. Type 2 diabetes mellitus with hypoglycemia without coma. This revision is due to the Annual ICD-10 Code Update and is effective on 10/1/20. Codes; Modifiers; License Data Files; Disclaimer; Search Results. 51 may differ. 1, 2 However, the incidence increased by 52. Growth hormone deficiency. [ 13, 14] Two patients presented with focal motor seizures, two with myoclonic jerks, and one with generalized tonic-clonic seizures. At present (aged 15) the patient is mentally retarded, has epilepsy, high tone deafness and a major behaviour disturbance. Despite the use of low-dose insulin protocols, hypoglycemia is still reported in 10–25% of patients with DKA. 3 may differ. 69 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Discover 2023 ICD-10 codes for diagnosing abnormal lab results, including R79. Hypoglycemic disorders are rare, but their consequences, particularly for children, can be severe and disabling. 195 The syndrome can thus develop in patients with insulin-dependent, ketosis-prone type 1 diabetes. Previous Code: E11. Short-term treatment of hypoglycemia consists of an intravenous (IV) bolus of dextrose 10% 2. KH is referenced in the Human Phenotype Ontology (HPO) as HP:0012734, a sign of other known rare diseases [5, 6]. 10 - other international versions of ICD-10 E11. Hyperglycemia-induced seizures are refractory to antiepileptic medications, account for 15–40% of seizures in patients with HHS, and are commonly focal motor seizures and epilepsia partialis continua. ICD-9-CM 251. e. Established in January, 2020, Ketotic Hypoglycemia International (KHI) is a new, worldwide patient organization for families affected by idiopathic ketotic hypoglycemia (IKH). 52 ICD-10-CM Guideline: Causal relationship presumed with diabetes unless documentation states unrelated. Short description: Oth spcf hypoglycemia. Since the first worldwide documentation of insulinoma in 1927 at the Mayo Clinic, 104 considerable experience with the disorder has been accrued. doi: 10. D50-D89. 0 - other international versions of ICD-10 E11. 2] [ICD-10 Code: E16. Non-Billable On/After Oct 1/2015. 51 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Non-ketotic hyperglycinemia (NKH) is a rare, genetic, metabolic disorder caused by a defect in the enzyme system that breaks down the amino acid glycine, resulting in an accumulation of glycine in the body’s tissues and fluids. 1. 2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. The symptoms of Whipple's triad have been used to describe hypoglycemia since 1938. 2x Secondary diabetes mellitus with hyperosmolarity;. (with hypoglycemia) affected by. This is the American ICD-10-CM version of E11 - other international versions of ICD-10 E11 may differ. ICD-10-CM Code for Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E08. E11. A search of Orphanet for “idiopathic ketotic hypoglycemia” and “ketotic hypoglycemia” yielded neither an Orpha number, an Online Mendelian Inheritance in Man (OMIM) geno- or phenotype reference number, or an ICD-10 number. One hundred mL/kg of body weight water is a deficit in DKA and 100-200 mL/kg in. Some people develop symptoms at slightly higher levels, especially when blood. Nonketotic hyperosmolar coma usually occurs in older persons with diabetes, 121,184,187,188 but it has been seen in the very young. 51 is a billable ICD code used to specify a diagnosis of non-ketotic hyperglycinemia. 9 is a valid billable ICD-10 diagnosis code for Type 2 diabetes mellitus without complications . A 'billable code' is detailed enough to be used to specify a medical diagnosis. 39 contain annotation back-references Treatment / Management. Ketotic Hypoglycemia (Fasting/Starvation) – most common cause Transient Neonatal Hypoglycemia Hyperinsulinism (transient and. , . 65 [convert to ICD-9-CM] Hypoglycemia in patients with diabetes: generally described as ≤ 70 mg/dL (≤ 3. Glucose concentrations ranged 1. Type 1 diabetes mellitus with hypoglycemia without coma E10. E11. These are sugary foods or drinks without protein or fat that are easily converted to sugar in the body. E72. Type 2 diabetes mellitus with hypoglycemia with coma-25031 E1011 Diabetes with other coma, type I [juvenile. Thus, treatment focuses on reducing plasma glycine concentration by initiating sodium benzoate therapy and utilizing N-methyl-D-aspartate receptor site antagonists (i. It’s high blood sugar levels, usually 250 mg/dL or higher, with the presence of ketones in the blood and urine. Synonyms: hypoglycemia due to type 2 diabetes mellitus, ICD List 2023-2024 Edition. Symptoms might include: Being very thirsty. The first usage refers to a. ICD-9-CM 251. The 2024 edition of ICD-10-CM Z86. 11 Drug or chemical induced diabetes mellitus with ketoacidosis with coma. In general, most signs and symptoms can be attributed to (1) the effects on the brain of insufficient glucose (neuroglycopenia) or (2) to the adrenergic response of the autonomic nervous system to hypoglycemia. 10 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Glycine is an amino acid, one of the building blocks that makes up proteins. Introduction. 5–6 years old and typically occurs after a period of poor food intake. Short description: Diabetes due to underlying condition w/o complications The 2024 edition of ICD-10-CM E08. E09. Convert to ICD-10-CM: 251. There are no large studies looking at the value of common laboratory testing in children presenting with KH or how often other diagnoses are made. Showing 1-25: ICD-10-CM Diagnosis Code E16. Because diabetes is a condition that typically uses hypoglycemia-causing agents (insulin and oral hypoglycemic agents in the sulfonylurea and meglitinide drug classes), it is important to be aware that seizures in this population could be iatrogenic. Hyperosmolar hyperglycemic state (HHS) is one of two serious metabolic derangements that occur in patients with diabetes mellitus (DM). 00 for Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) is a medical classification as. 02 (hcc 19) dm , type ii, without mention of complication,. Give NS initially, once the patient is euvolemic or near euvolemic switch to ½ NS if the corrected sodium is greater than 150 meq/L. 1. Drug or chemical induced diabetes mellitus with hypoglycemia with coma E10. 8 is a billable diagnosis code used to specify type 2 diabetes mellitus with unspecified complications. After you find out all icd 10 code for dm 2 with hyperglycemia results you wish, you will have many options to find the best saving by clicking to the button get link coupon or more offers of the store on the right to see all the related coupon, promote. E15 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. After validation, 10 patients (7. ICD-10-CM Range D50-D89. 9. 01. ”. The pediatric patients admitted in the Malda Medical College and Hospital. Coding methodology for severe hypoglycemia and hyperglycemia changed between 2015 and 2016 due to transition from ICD-9 to ICD-10 codes, affecting hypoglycemia ascertainment more than severe hyperglycemia due to greater availability of hypoglycemia ICD-10 codes than ICD-9 codes. GSD IIIa is the most common subtype, present in about 85% of affected individuals; it manifests with liver and muscle involvement. 2) E16. The mission of KHI is to enhance the understanding of IKH for the benefit of children, parents, and families who have been affected by IKH. E09. This is the American ICD-10-CM version of E71. Next Code: E11. 89 is a billable diagnosis code used to specify other specified metabolic disorders. ICD-10-CM Codes. , diagnostic plasma glucose threshold, definition of at–risk neonates) of childhood hypoglycemia. Generally, the blood sugar must fall below 50 for a patient to experience symptoms of hypoglycemia. About 80 percent of cases result from mutations in the GLDC gene, while AMT gene mutations cause about 20 percent of all cases. type IX Glycogenolysis Growth hormone Growth hormone deficiency Homeostasis Hormone Hyperinsulinemic hypoglycemia Hypoglycemia Hypopituitarism. Abstract. This code was replaced on September 30, 2015 by its ICD-10 equivalent. Drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC). Being weak or tired. E11. ICD-10-CM Diagnosis Code E11. 1 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. Ketotic hypoglycemia. 174 results found. E0800: Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E0801: Diabetes mellitus due to underlying condition with hyperosmolarity with coma. 10 is a valid billable ICD-10 diagnosis code for Other specified diabetes mellitus with ketoacidosis without coma . code for adverse effect, if applicable, to identify drug ( T36-T50 with fifth or sixth character 5) therapeutic misadventure T38. S. E10. This is the American ICD-10-CM version of E11. MDC 10 Endocrine, Nutritional & Metabolic Diseases & Disorders. 1, 2 A larger part of KH patients have idiopathic KH, a diagnosis of exclusion believed to represent a genetic and clinical heterogeneous disease entity. E11. E09. E13. Use Additional. Ganister disease J62. [2] Hyperosmolar nonketotic coma (usually type 2) in which an extremely high blood sugar level and dehydration alone are sufficient to cause unconsciousness. Try glucose tablets or gel, fruit juice, regular (not diet) soda, honey, or sugary candy. Ketotic hypoglycemia is a medical term used in two ways: (1) broadly, to refer to any circumstance in which low blood glucose is accompanied by ketosis, and (2) in a much more restrictive way to refer to recurrent episodes of hypoglycemic symptoms with ketosis and, often, vomiting, in young children. When using code E08. The charts of 94 non-diabetic patients presenting to an ED during a period of 64 months with a diagnosis of hypoglycemia as identified via ICD-9 codes were reviewed. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 9 may differ. 9. The main etiological causes are metabolic and/or endocrine and/or other congenital disorders. But severe variants, sometimes affecting several family members. 1 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. 2-2. Type 1 diabetes mellitus with hypoglycemia without coma: E1065: Type 1. The aims of this case report are to highlight metabolic encephalopathy as a complication of DKA and to explore the. Symptoms of HONK. The code E11. com. 810 - other international versions of ICD-10 D72. 00: 250. 32 may differ. INTRODUCTION. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or. A 42-year-old man presented with a history of alcohol dependence since the age of 27 years. The 2024 edition of ICD-10-CM E71. health care setting. The 2024 edition of ICD-10-CM H40. Short description: Oth diabetes mellitus with hyperosmolarity with coma The 2024 edition of ICD-10-CM E13. follow up of 62 cases of ketotic hypoglycemia: a retrospective study Paul Kaplowitz1* and Hilal Sekizkardes2,3 Abstract Introduction: Idiopathic ketotic hypoglycemia (KH) is the most common cause of hypoglycemia in non-diabetic children ages 0. Methods: A case of HC-NH was reported and reviewed in terms of the clinical features, diagnosis. 32 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.