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Home/Diagnosis/ICD-10 Coding for Diabetes

ICD-10 Coding for Diabetes

E10.9
E11.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for diabetes includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Diabetes Mellitus
DM
Sugar Diabetes
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Key Information: ICD-10 Coding for Diabetes

Essential facts and insights about ICD-10 Coding for Diabetes

Use ICD-10 code E10.9 for type 1 diabetes mellitus without complications, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Type 1 diabetes mellitus without complications

Billable Code
E10.9
Billable

Diagnostic Criteria

  • • Patient has positive autoantibodies and low C-peptide levels.

Applicable To

  • • Juvenile diabetes
  • • Insulin-dependent diabetes

Important Notes

  • • Ensure documentation specifies Type 1 diabetes and insulin dependence.

Type 2 diabetes mellitus without complications

Billable Code
E11.9
Billable

Diagnostic Criteria

  • • HbA1c ≥6.5%
  • • Fasting glucose ≥126 mg/dL

Applicable To

  • • Adult-onset diabetes
  • • Non-insulin-dependent diabetes

Important Notes

  • • Ensure documentation specifies Type 2 diabetes and any treatment plans.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.4

Long-term (current) use of insulin

Use when the patient is on long-term insulin therapy.

Z79.84

Long-term (current) use of oral hypoglycemic drugs

Use when the patient is on long-term oral hypoglycemic therapy.

Frequently Asked Questions

What is the ICD-10 code for Type 2 diabetes?

The ICD-10 code for Type 2 diabetes mellitus without complications is E11.9. This code is used when the patient has Type 2 diabetes without any documented complications.

How do you code diabetes with complications?

For diabetes with complications, sequence the diabetes code first, followed by the specific complication code. For example, E11.621 for Type 2 diabetes with foot ulcer.

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