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Home/Diagnosis/ICD-10 Coding for Type 2 Diabetes Mellitus Uncontrolled

ICD-10 Coding for Type 2 Diabetes Mellitus Uncontrolled

E11.65
E11.64

Complete ICD-10-CM coding and documentation guide for icd-10 coding for type 2 diabetes mellitus uncontrolled includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Uncontrolled Type 2 Diabetes
Type 2 Diabetes with Hyperglycemia
Type 2 Diabetes with Hypoglycemia
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Key Information: ICD-10 Coding for Type 2 Diabetes Mellitus Uncontrolled

Essential facts and insights about ICD-10 Coding for Type 2 Diabetes Mellitus Uncontrolled

Use ICD-10 code E11.65 for type 2 diabetes mellitus with hyperglycemia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Type 2 diabetes mellitus with hyperglycemia

Billable Code
E11.65
Billable

Diagnostic Criteria

clinical:
  • • Presence of hyperglycemia symptoms and lab results
documentation:
  • • Explicit mention of hyperglycemia in medical records

Applicable To

  • • Uncontrolled type 2 diabetes with hyperglycemia

Important Notes

  • • Ensure hyperglycemia is explicitly documented to use E11.65.

Type 2 diabetes mellitus with hypoglycemia

Non-Billable
E11.64
Non-Billable

Diagnostic Criteria

clinical:
  • • Glucose <70 mg/dL with symptoms
documentation:
  • • Documentation of hypoglycemia etiology

Applicable To

  • • Uncontrolled type 2 diabetes with hypoglycemia

Important Notes

  • • Ensure hypoglycemia is explicitly documented to use E11.64.
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.

Frequently Asked Questions

What is the ICD-10 code for uncontrolled type 2 diabetes?

The ICD-10 code for uncontrolled type 2 diabetes with hyperglycemia is E11.65. For hypoglycemia, use E11.64.

How do you code type 2 diabetes with hyperglycemia?

Code E11.65 is used for type 2 diabetes with hyperglycemia, requiring documentation of elevated glucose levels or symptoms.

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