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

ICD-10 Coding for Type 2 Diabetes

E11.9
E11.65

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

Also Known as:
T2DM
Adult-onset diabetes
Non-insulin dependent diabetes
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Key Information: ICD-10 Coding for Type 2 Diabetes

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

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

clinical:
  • • Patient's A1C is ≤7% and no complications are documented.

Applicable To

  • • Well-controlled type 2 diabetes

Important Notes

  • • Ensure no complications are present before using this code.

Type 2 diabetes mellitus with hyperglycemia

Billable Code
E11.65
Billable

Diagnostic Criteria

clinical:
  • • A1C >7%
  • • Fasting glucose >126 mg/dL

Applicable To

  • • Uncontrolled type 2 diabetes

Important Notes

  • • Document hyperglycemia with specific lab values.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.4

Long-term (current) use of insulin

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

Z79.84

Long-term (current) use of oral hypoglycemic drugs

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

Frequently Asked Questions

How do you code type 2 diabetes with hyperglycemia?

Code E11.65 is used for type 2 diabetes with hyperglycemia. Ensure documentation includes A1C >7% or fasting glucose >126 mg/dL.

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

The ICD-10 code for well-controlled type 2 diabetes is E11.9, used when A1C is ≤7% and no complications are present.

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