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ICD-10 Guide
ICD-10 CodesE74.810

E74.810

Billable

Glucose transporter protein type 1 deficiency

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E74.810 is a billable code used to indicate a diagnosis of glucose transporter protein type 1 deficiency.

Key Diagnostic Point:

Glucose transporter protein type 1 deficiency (GLUT1 deficiency syndrome) is a rare genetic metabolic disorder caused by mutations in the SLC2A1 gene, which encodes the glucose transporter protein type 1. This condition leads to impaired glucose transport across the blood-brain barrier, resulting in insufficient glucose availability for brain metabolism. Clinically, patients may present with a range of neurological symptoms, including developmental delays, seizures, movement disorders, and cognitive impairment. The onset of symptoms typically occurs in infancy or early childhood, and the severity can vary widely among affected individuals. Diagnosis is often confirmed through genetic testing, cerebrospinal fluid analysis showing low glucose levels, and neuroimaging studies that may reveal structural brain abnormalities. Management primarily focuses on dietary modifications, such as a ketogenic diet, which can help provide alternative energy sources for the brain. Early diagnosis and intervention are crucial for improving outcomes and quality of life for affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of genetic testing results
  • Differentiation from other metabolic disorders
  • Potential for co-existing neurological conditions
  • Documentation of dietary management strategies

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to document dietary interventions
  • Misdiagnosis due to overlapping symptoms with other conditions
  • Lack of interdisciplinary notes in patient records

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological assessments, genetic testing results, and treatment plans.

Common Clinical Scenarios

Evaluation of developmental delays, seizure management, and cognitive assessments.

Billing Considerations

Ensure comprehensive documentation of neurological symptoms and their impact on daily functioning.

Genetics

Documentation Requirements

Genetic testing results, family history, and counseling notes.

Common Clinical Scenarios

Assessment of family members for carrier status and genetic counseling for affected families.

Billing Considerations

Document the rationale for genetic testing and the implications for family planning.

Coding Guidelines

Inclusion Criteria

Use E74.810 When
  • Follow ICD
  • CM guidelines for coding genetic disorders, ensuring accurate documentation of the condition's clinical manifestations and any related treatments
  • Include any relevant co
  • morbidities and ensure that the primary diagnosis reflects the main reason for the encounter

Exclusion Criteria

Do NOT use E74.810 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81229CPT Code

Genetic testing for SLC2A1 mutations

Clinical Scenario

Used when confirming a diagnosis of GLUT1 deficiency.

Documentation Requirements

Document the rationale for testing and results.

Specialty Considerations

Genetic specialists should ensure comprehensive family history is included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of metabolic disorders, including GLUT1 deficiency, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better understanding the condition's prevalence and management in clinical practice.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of metabolic disorders, including GLUT1 deficiency, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better understanding the condition's prevalence and management in clinical practice.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of metabolic disorders, including GLUT1 deficiency, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better understanding the condition's prevalence and management in clinical practice.

Resources

Clinical References

  • •
    National Organization for Rare Disorders (NORD)

Coding & Billing References

  • •
    National Organization for Rare Disorders (NORD)

Frequently Asked Questions

What are the common symptoms of GLUT1 deficiency?

Common symptoms include developmental delays, seizures, movement disorders, and cognitive impairment, often presenting in infancy or early childhood.

How is GLUT1 deficiency diagnosed?

Diagnosis is typically confirmed through genetic testing, cerebrospinal fluid analysis showing low glucose levels, and neuroimaging studies.