Other disorders of carbohydrate metabolism
Chapter 4:Endocrine, nutritional and metabolic diseases
ICD-10 E74 is a billable code used to indicate a diagnosis of other disorders of carbohydrate metabolism.
E74 encompasses a variety of metabolic disorders that affect carbohydrate metabolism, including conditions resulting from enzyme deficiencies, genetic metabolic disorders, and other related issues. These disorders can lead to abnormal glucose levels, impaired insulin function, and various systemic effects. Common examples include galactosemia, glycogen storage diseases, and disorders of fructose metabolism. Patients may present with symptoms such as hypoglycemia, failure to thrive, or metabolic acidosis. Diagnosis often involves biochemical tests to assess enzyme activity and genetic testing to identify specific mutations. Management typically includes dietary modifications, enzyme replacement therapy, and monitoring of metabolic parameters to prevent complications. The complexity of these disorders can vary significantly based on the specific enzyme deficiency or metabolic pathway involved, necessitating a thorough understanding of the underlying pathophysiology for accurate coding and treatment.
Detailed growth and development assessments, dietary history, and metabolic testing results.
Infants presenting with failure to thrive, metabolic crises, or abnormal newborn screening results.
Pediatric patients may require more frequent monitoring and adjustments in dietary management.
Comprehensive metabolic evaluations, including glucose tolerance tests and hormone level assessments.
Adults with unexplained hypoglycemia or metabolic syndrome.
Endocrinologists may need to coordinate care with dietitians for optimal management.
Used to monitor glucose levels in patients with carbohydrate metabolism disorders.
Document the reason for testing and any relevant clinical history.
Endocrinologists may frequently order this test for metabolic evaluations.
E74 includes various metabolic disorders affecting carbohydrate metabolism, such as galactosemia, glycogen storage diseases, and fructose intolerance, among others.
