ICD-10 E16.0
Billable / SpecificDrug-induced hypoglycemia without coma
About ICD-10-CM E16.0
ICD-10-CM code E16.0 represents Drug-induced hypoglycemia without coma. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E16). The 2026 edition of ICD-10-CM E16.0 became effective on October 1, 2025.
Type 1 Excludes
Pure excludes, these codes can never be coded together with E16.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- diabetes with hypoglycemia without coma (E09.649)
Use Additional Code
When coding E16.0, also report these additional codes when applicable.
- code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Medicare LCD Coverage for E16.0
Local Coverage Determinations (LCDs) from CMS MACs that list E16.0 as a covered diagnosis.
Showing top 10 of 58 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing E16.0.
3 Medicare
1 Aetna
CPT Codes Commonly Billed with E16.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert E16.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| E16.0 | 2511 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To E16.0
Other codes in section E15-E16 (Other disorders of glucose regulation and pancreatic internal secretion).
ICD-10 E16.0, Billing FAQ
Is ICD-10 code E16.0 billable? +
Yes, E16.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 1 Excludes for E16.0? +
Type 1 Excludes (never code together with E16.0): diabetes with hypoglycemia without coma (E09.649)
What ICD-9 codes does E16.0 map to? +
Per CMS GEMs, E16.0 maps to ICD-9 codes: 2511. Useful for legacy data review and historical claim analysis.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team