ICD-10-CM 2027 diagnosis code
E15Nondiabetic hypoglycemic coma
E15 is a valid, billable ICD-10-CM code for nondiabetic hypoglycemic coma. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About E15
E15 is the ICD-10-CM diagnosis code for nondiabetic hypoglycemic coma. It belongs to block E15-E16 (other disorders of glucose regulation and pancreatic internal secretion) and chapter 4 (endocrine, nutritional and metabolic diseases). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.
In MS-DRG v44.0, it is part of the grouping logic for DRG 640 (Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC, relative weight 1.3395), DRG 641 (Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC, relative weight 0.7865), DRG 791 (Prematurity with Major Problems, relative weight 4.1075) and DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), in MDC 10 (Endocrine, Nutritional and Metabolic Diseases and Disorders) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 251.0 (hypoglycemic coma).
Coding notes
- drug-induced insulin coma in nondiabetic
- hyperinsulinism with hypoglycemic coma
- hypoglycemic coma NOS
Notes that apply from higher levels
Instructions written at a parent level also apply to E15.
Broader instructions also apply from Chapter 4: Endocrine, nutritional and metabolic diseases.
Alphabetic index entries
8 entriesTerms in the official ICD-10-CM index that lead to E15.
- Coma › hypoglycemic (diabetic) › nondiabetic
- Hyperinsulinism (functional) › with › coma (hypoglycemic)
- Hypoglycemia (spontaneous) › coma
- Hypoglycemia (spontaneous) › drug-induced › with coma (nondiabetic)
- Hypoglycemia (spontaneous) › due to insulin › with coma (nondiabetic)
- Hypoglycemia (spontaneous) › iatrogenic › with coma (nondiabetic)
- Reaction › hypoglycemic, due to insulin › with coma (diabetic) › nondiabetic
- Shock › insulin
Codes whose notes reference E15
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders
MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period
MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period
ICD-9-CM equivalent
Converter →- 251.0Hypoglycemic comaexact
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about E15
Is E15 billable?
- Yes. E15 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can E15 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict E15 as a principal diagnosis.
Is E15 a CC or MCC?
- E15 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.
What DRG does E15 group to?
- E15 is used in the MS-DRG v44.0 logic for MS-DRG 640 (Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC), MS-DRG 641 (Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC), MS-DRG 791 (Prematurity with Major Problems) and MS-DRG 793 (Full Term Neonate with Major Problems). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for E15?
- The CMS General Equivalence Mappings map E15 to ICD-9-CM 251.0.