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

ICD-10 Coding for Uncontrolled Type 2 Diabetes Mellitus

E11.65
E11.649

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

Also Known as:
Type 2 Diabetes Mellitus Uncontrolled
Poorly Controlled Type 2 Diabetes
type 2 diabetes with hyperglycemia
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Key Information: ICD-10 Coding for Uncontrolled Type 2 Diabetes Mellitus

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

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:
  • • HbA1c ≥7%
  • • Fasting glucose ≥130 mg/dL
documentation:
  • • Explicit mention of hyperglycemia

Applicable To

  • • Poorly controlled type 2 diabetes
  • • Type 2 diabetes with hyperglycemia

Important Notes

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

Type 2 diabetes mellitus with hypoglycemia without coma

Billable Code
E11.649
Billable

Diagnostic Criteria

clinical:
  • • Blood glucose <70 mg/dL
  • • Symptoms of hypoglycemia

Applicable To

  • • Type 2 diabetes with hypoglycemia

Important Notes

  • • Ensure hypoglycemia is explicitly documented to use E11.649.
Ancillary Codes

Additional codes that may be used with this diagnosis

E11.319

Diabetic retinopathy

Use when retinopathy is documented as a complication.

E11.22

Diabetic chronic kidney disease

Use when CKD is documented as a complication.

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 uncontrolled type 2 diabetes mellitus?

The ICD-10 code for uncontrolled type 2 diabetes mellitus with hyperglycemia is E11.65. If hypoglycemia is present, use E11.649.

Can 'poorly controlled' diabetes be coded as E11.65?

Yes, 'poorly controlled' type 2 diabetes is coded as E11.65 when hyperglycemia is documented.

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