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ICD-10 Guide
ICD-10 CodesE74.819

E74.819

Billable

Disorders of glucose transport, unspecified

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

Code Description

ICD-10 E74.819 is a billable code used to indicate a diagnosis of disorders of glucose transport, unspecified.

Key Diagnostic Point:

Disorders of glucose transport encompass a range of metabolic conditions characterized by impaired glucose uptake and utilization by cells. These disorders can arise from various underlying causes, including genetic mutations affecting glucose transporter proteins, enzyme deficiencies, and other metabolic dysfunctions. Patients may present with symptoms such as hypoglycemia, hyperglycemia, or metabolic acidosis, depending on the specific nature of the disorder. The glucose transporters, primarily GLUT1, GLUT2, and GLUT4, play critical roles in maintaining glucose homeostasis. Genetic defects in these transporters can lead to conditions like glucose transporter type 1 deficiency syndrome (GLUT1 DS), which is characterized by neurological symptoms due to insufficient glucose transport across the blood-brain barrier. Diagnosis typically involves biochemical tests, genetic testing, and clinical evaluation. Management strategies may include dietary modifications, supplementation, and in some cases, pharmacological interventions. Given the complexity of glucose metabolism and the potential for overlapping symptoms with other metabolic disorders, accurate coding is essential for appropriate treatment and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to glucose transport disorders
  • Overlap with other metabolic disorders and conditions
  • Need for precise documentation to differentiate from similar codes
  • Potential for genetic testing and its implications on coding

Audit Risk Factors

  • Insufficient documentation of clinical symptoms
  • Lack of genetic testing results in the medical record
  • Inconsistent use of related codes in conjunction
  • Failure to document the rationale for using unspecified codes

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed metabolic panel results, genetic testing outcomes, and treatment plans.

Common Clinical Scenarios

Patients presenting with unexplained hypoglycemia or hyperglycemia, requiring evaluation for glucose transport disorders.

Billing Considerations

Endocrinologists must ensure comprehensive documentation of metabolic assessments and any genetic evaluations performed.

Genetics

Documentation Requirements

Genetic test results, family history, and detailed clinical evaluations.

Common Clinical Scenarios

Patients with a family history of metabolic disorders or those presenting with symptoms suggestive of genetic glucose transport issues.

Billing Considerations

Geneticists should document the specific genetic mutations identified and their implications for treatment and family counseling.

Coding Guidelines

Inclusion Criteria

Use E74.819 When
  • According to ICD
  • 10 coding guidelines, E74
  • 819 should be used when the specific type of glucose transport disorder is not documented
  • Coders should ensure that the medical record supports the diagnosis and that other related conditions are not more accurately coded

Exclusion Criteria

Do NOT use E74.819 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

82947CPT Code

Glucose; quantitative, blood (serum, plasma)

Clinical Scenario

Used in conjunction with E74.819 for evaluating glucose levels in suspected glucose transport disorders.

Documentation Requirements

Document the reason for the glucose test and any relevant clinical findings.

Specialty Considerations

Endocrinologists should ensure that glucose testing aligns with the patient's clinical presentation.

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 glucose transport issues. This specificity aids in better tracking of patient outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of metabolic disorders, including glucose transport issues. This specificity aids in better tracking of patient outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of metabolic disorders, including glucose transport issues. This specificity aids in better tracking of patient outcomes and resource allocation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms of glucose transport disorders?

Common symptoms include hypoglycemia, hyperglycemia, seizures, developmental delays, and metabolic acidosis, depending on the specific disorder.