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Home/Diagnosis/ICD-10 Coding for Diabetes Unspecified

ICD-10 Coding for Diabetes Unspecified

E11.9

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

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

Essential facts and insights about ICD-10 Coding for Diabetes Unspecified

Use ICD-10 code E11.9 for type 2 diabetes mellitus without complications, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Type 2 diabetes mellitus without complications

Billable Code
E11.9
Billable

Diagnostic Criteria

documentation_criteria:
  • • Type of diabetes is not specified in the medical record.
applicable_to:
  • • Diabetes mellitus type 2
  • • Non-insulin-dependent diabetes mellitus
excludes:
  • • Type 1 diabetes mellitus (E10.-)
  • • Gestational diabetes (O24.4-)
validation:
  • • HbA1c ≥6.5%
  • • Fasting glucose >126 mg/dL on 2 occasions
  • • Random glucose >200 mg/dL with symptoms
notes:
  • • Ensure documentation specifies type and control status to avoid defaulting to E11.9.
risks:
  • • Incorrect use when complications are present but not documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.4

Long-term (current) use of insulin

Use when patient is on long-term insulin therapy.

Frequently Asked Questions

What is the ICD-10 code for unspecified diabetes?

The ICD-10 code for unspecified diabetes is E11.9, used when the type of diabetes is not specified and no complications are documented.

When should E11.9 be used?

E11.9 should be used when diabetes is documented without specifying the type and no complications are present.

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