5A40, 5A41, 5A42, 5A43, 5A44, 5A45, 5A4Y, 5A4Z

Glucose Regulation Disorders & Pancreatic Internal Secretion – ICD 11

Exclusions:

  • Benign neoplasm of endocrine pancreas (2E92.9)
  • Multiple endocrine neoplasia type 1 (2F7A.0)
  • Malignant neoplasm of pancreas (2C10)

Coded Elsewhere:

  • Somatostatinoma (2C10.1)
  • VIPoma (2C10.1)
  • PPoma (2C10.1)
  • GRFoma (2C10.1)

Intermediate hyperglycaemia

Definition of Intermediate hyperglycaemia: A metabolic disorder characterised by glucose levels too high to be considered normal, though not high enough to meet the criteria for diabetes.

ICD 11 Code For Intermediate hyperglycaemia

  5A40  Intermediate hyperglycaemia

Inclusions:

  • prediabetes
  • Impaired glucose regulation

Exclusions:

  • Diabetes mellitus, other specified type (5A13)
  • Idiopathic Type 1 diabetes mellitus (5A10)
  • Type 2 diabetes mellitus (5A11)
  • Diabetes mellitus, type unspecified (5A14)
  • Elevated blood glucose level (MA18.0)

5A40.0 Impaired fasting glucose

Definition of Impaired fasting glucose: Impaired glucose tolerance is a metabolic disorder with FPG 110–125 mg/dl (6.1–6.9 mmol/l).

5A40.1 Impaired glucose tolerance

Definition of Impaired glucose tolerance: Impaired glucose tolerance (IGT) is a metabolic disorder, which is characterised by 2-h postload glucose 140–199 mg/dl (7.8–11.1 mmol/l).

5A40.Y Other specified intermediate hyperglycaemia

5A40.Z Intermediate hyperglycaemia unspecified

Hypoglycaemia without associated diabetes

ICD 11 Code For Hypoglycaemia without associated diabetes

  5A41  Hypoglycaemia without associated diabetes

Exclusions:

  • Hypoglycaemia in the context of diabetes mellitus (5A21)

Coded Elsewhere:

  • Neonatal hypoglycaemia (KB60.4)

Increased secretion of glucagon

ICD 11 Code For Increased secretion of glucagon

  5A42  Increased secretion of glucagon

Exclusions:

  • Multiple endocrine neoplasia type 1 (2F7A.0)

Coded Elsewhere:

  • Glucagonoma (2C10.1)

Abnormal secretion of gastrin

ICD 11 Code For Abnormal secretion of gastrin

  5A43  Abnormal secretion of gastrin

Coded Elsewhere:

  • Gastrinoma (2C10.1)

5A43.0 Drug-induced hypergastrinaemia

Definition of Drug-induced hypergastrinaemia: A form of hypergastrinaemia that can be induced by drugs.

5A43.1 Zollinger-Ellison syndrome

Definition of Zollinger-Ellison syndrome: A syndrome characterised by the presence of a gastrin-secreting tumour, usually in the pancreas or duodenum, resulting in increased gastric acidity and formation of gastric ulcers. Signs and symptoms include abdominal pain and diarrhea. It may be sporadic or a manifestation of multiple endocrine neoplasia type 1.

Coded Elsewhere:

  • Anastomotic ulcer due to Zollinger-Ellison syndrome (DA62.Y)
  • Gastric ulcer due to Zollinger-Ellison syndrome (DA60.Y)
  • Duodenal ulcer due to Zollinger-Ellison syndrome (DA63.Y)

5A43.Y Other specified abnormal secretion of gastrin

5A43.Z Abnormal secretion of gastrin unspecified

Insulin-resistance syndromes

ICD 11 Code For Insulin-resistance syndromes

  5A44  Insulin-resistance syndromes

Coding Note:

  • Code also the causing condition

Persistent hyperinsulinaemic hypoglycaemia of infancy

Definition of Persistent hyperinsulinaemic hypoglycaemia of infancy: Congenital isolated hyperinsulinism, or Persistent hyperinsulinaemic hypoglycaemia of infancy (PHHI) is defined by an inappropriate oversecretion of insulin by the endocrine pancreas that is responsible for profound hypoglycaemia, which requires aggressive medical and/or surgical treatment to prevent severe and irreversible brain damage. PHHI is a genetically heterogeneous disorder with two types of histological lesions: diffuse (DiPHHI) and focal (FoPHHI) which are clinically indistinguishable.

ICD 11 Code For Persistent hyperinsulinaemic hypoglycaemia of infancy

  5A45  Persistent hyperinsulinaemic hypoglycaemia of infancy

Other specified disorders of glucose regulation and pancreatic internal secretion

ICD 11 Code For Other specified disorders of glucose regulation and pancreatic internal secretion

  5A4Y  Other specified disorders of glucose regulation and pancreatic internal secretion

Disorders of glucose regulation and pancreatic internal secretion unspecified

ICD 11 Code For Disorders of glucose regulation and pancreatic internal secretion unspecified

  5A4Z  Disorders of glucose regulation and pancreatic internal secretion unspecified

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