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

ICD-10 Coding for Uncontrolled Diabetes Mellitus

E11.65
E11.641
E11.9

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

Also Known as:
Uncontrolled DM
Poorly Controlled Diabetes
diabetes mellitus uncontrolled
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Key Information: ICD-10 Coding for Uncontrolled Diabetes Mellitus

Essential facts and insights about ICD-10 Coding for Uncontrolled 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

  • • Fasting glucose >130 mg/dL
  • • Random glucose >200 mg/dL
  • • HbA1c >9%

Applicable To

  • • Uncontrolled type 2 DM with hyperglycemia

Important Notes

  • • Ensure hyperglycemia is explicitly documented.

Type 2 diabetes mellitus with hypoglycemia

Billable Code
E11.641
Billable

Diagnostic Criteria

  • • Blood glucose <70 mg/dL with symptoms

Applicable To

  • • Uncontrolled type 2 DM with hypoglycemia

Important Notes

  • • Ensure hypoglycemia is explicitly documented.

Type 2 diabetes mellitus without complications

Billable Code
E11.9
Billable

Diagnostic Criteria

  • • No acute hyperglycemia or hypoglycemia documented

Applicable To

  • • Stable glucose levels

Important Notes

  • • Use when no complications or uncontrolled status is specified.
Ancillary Codes

Additional codes that may be used with this diagnosis

E11.621

Type 2 diabetes mellitus with foot ulcer

Use when foot ulcer is present as a complication.

Frequently Asked Questions

What is the ICD-10 code for uncontrolled diabetes?

The ICD-10 code for uncontrolled diabetes with hyperglycemia is E11.65, and with hypoglycemia is E11.641. If unspecified, use E11.9.

How do you document uncontrolled diabetes?

Document uncontrolled diabetes by specifying hyperglycemia or hypoglycemia, including glucose levels and treatment adjustments.

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