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Home/Diagnosis/ICD-10 Coding for Uncontrolled Diabetes

ICD-10 Coding for Uncontrolled Diabetes

E11.65
E11.649
E11.9

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

Also Known as:
Poorly Controlled Diabetes
Out of Control Diabetes
diabetes mellitus uncontrolled
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Key Information: ICD-10 Coding for Uncontrolled Diabetes

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

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

documentation:
  • • Explicit mention of hyperglycemia in the patient's record

Applicable To

  • • Uncontrolled type 2 diabetes with hyperglycemia
  • • Poorly controlled diabetes with elevated glucose

Important Notes

  • • Ensure hyperglycemia is documented explicitly to use this code.

Type 2 diabetes mellitus with hypoglycemia without coma

Billable Code
E11.649
Billable

Diagnostic Criteria

documentation:
  • • Documentation of hypoglycemia
  • • Symptoms of low blood sugar episodes

Applicable To

  • • Uncontrolled diabetes with hypoglycemia

Important Notes

  • • Ensure hypoglycemia is documented explicitly to use this code.

Type 2 diabetes mellitus without complications

Billable Code
E11.9
Billable

Diagnostic Criteria

documentation:
  • • Lack of specification for hyperglycemia or hypoglycemia

Applicable To

  • • Uncontrolled diabetes without specification

Important Notes

  • • Query provider if hyperglycemia or hypoglycemia is suspected but not documented.
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 insulin therapy.

Frequently Asked Questions

What is the ICD-10 code for uncontrolled diabetes?

The ICD-10 code for uncontrolled diabetes depends on the presence of hyperglycemia or hypoglycemia. E11.65 is used for hyperglycemia, E11.649 for hypoglycemia, and E11.9 when neither is specified.

How do you code uncontrolled diabetes with hyperglycemia?

Code E11.65 is used for uncontrolled diabetes with hyperglycemia when documentation explicitly links the condition to elevated blood glucose levels.

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