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Coding Guidance
Coding Guidance E11 should not be used for reimbursement purposes as there are more specific codes below it that contain a greater level of detail. See Related Codes to drill down to more specific billable codes for appropriate reimbursement.
Includes
From
diabetes (mellitus) due to insulin secretory defect
diabetes NOS
insulin resistant diabetes (mellitus)
Excludes 1
From
diabetes mellitus due to underlying condition ( E08 .-)
drug or chemical induced diabetes mellitus ( E09 .-)
gestational diabetes ( O24.4- )
neonatal diabetes mellitus ( P70.2 )
postpancreatectomy diabetes mellitus ( E13 .-)
postprocedural diabetes mellitus ( E13 .-)
secondary diabetes mellitus NEC ( E13 .-)
type 1 diabetes mellitus ( E10 .-)
From
transitory endocrine and metabolic disorders specific to newborn ( P70-P74 )
Use Additional Code
From
Use Additional Code The 'use additional code' note instructs that a secondary code should be added to provide more detail. 5 item s • code to identify control using: • injectable non-insulin antidiabetic drugs ( Z79.85 ) • insulin ( Z79.4 ) • oral antidiabetic drugs ( Z79.84 ) • oral hypoglycemic drugs ( Z79.84 )