icd- 10 code for diabetes mellitus type 2

by Greg Kerluke 5 min read

ICD-10 Code: E11* – Type 2 Diabetes Mellitus
ICD-Code E11* is a non-billable ICD-10 code used for healthcare diagnosis reimbursement of Type 2 Diabetes Mellitus. Its corresponding ICD-9 code is 250.

What are the ICD 10 codes for type 2 diabetes?

  • E11.21 Type 2 diabetes mellitus with diabetic nephropathy
  • E11.22 Type 2 diabetes mellitus with diabetic chronic kidney disease
  • E11.29 Type 2 diabetes mellitus with other diabetic kidney complication

Does type 2 diabetes always require insulin?

Sometimes, people with type 2 diabetes or gestational diabetes need insulin therapy if other treatments haven't been able to keep blood glucose levels within the desired range. Insulin therapy helps prevent diabetes complications by keeping your blood sugar within your target range.

What are the diagnostic criteria for type 2 diabetes?

Type 2 diabetes

  • Diagnosis. Type 2 diabetes is usually diagnosed using the glycated hemoglobin (A1C) test. ...
  • Treatment. These steps will help keep your blood sugar level closer to normal, which can delay or prevent complications.
  • Clinical trials. ...
  • Lifestyle and home remedies. ...
  • Alternative medicine. ...
  • Coping and support. ...
  • Preparing for your appointment. ...

What to do after a type 2 diabetes diagnosis?

After a type 2 diabetes diagnosis, it is time to get sweating. Whether or not you’re on medication, and whether or not you need to lose weight, exercise is key. It’s a good idea to exercise 30 minutes per day on most days in order to help your body use the insulin it can make.

image

What is the ICD-10 code for diabetes mellitus type 2 without complications?

ICD-10 code E11. 9 for Type 2 diabetes mellitus without complications is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .

What is the icd10 code for diabetes?

E08, Diabetes mellitus due to underlying condition.

What is the proper ICD-10 code for Type 2 diabetes mellitus with multiple complications?

E11. 69 - Type 2 diabetes mellitus with other specified complication. ICD-10-CM.

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

ICD-10 code E11. 65 represents the appropriate diagnosis code for uncontrolled type 2 diabetes without complications.

What is the ICD-10 code for type 2 diabetes on insulin?

ICD-10 Code Z79. 4, Long-term (current) use of insulin should be assigned to indicate that the patient uses insulin for Type 2 diabetes mellitus (Category E11* codes). Z79. 4 should NOT be used for Type 1 diabetes mellitus (Category E10* codes).

What is the ICD-10 code for screening for diabetes?

ICD-10 code Z13. 1 for Encounter for screening for diabetes mellitus is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

Is diabetes mellitus type 1 or type 2?

The main difference between the type 1 and type 2 diabetes is that type 1 diabetes is a genetic condition that often shows up early in life, and type 2 is mainly lifestyle-related and develops over time. With type 1 diabetes, your immune system is attacking and destroying the insulin-producing cells in your pancreas.

What is secondary diabetes mellitus?

Abstract. Secondary diabetes can be defined as a diabetic condition that develops after the destruction of the beta-cells in the pancreatic islets and/or the induction of insulin resistance by an acquired disease (e.g. endocrinopathies) or others.

Can you code E11 21 and E11 22 together?

21 and E11. 22 have an excludes 1 notes therefore they can be coded together as long as a separate renal manifestation is present, I would just be careful when coding the actual renal condition as there are some renal codes that are excluded when using CKD codes.

How do you code a poorly controlled diabetes?

If a patient is admitted with uncontrolled diabetes and there are no other diabetic manifestations documented, then assign code 250.02 or 250.03.

What is type 2 diabetes uncontrolled?

Uncontrolled diabetes is diagnosed when your blood glucose (sugar) levels are 180 milliliters per deciliter (ml/dL) or higher. When diabetes is uncontrolled, persistently high blood sugar levels can damage nerves, blood vessels, and vital organs.

What is Type 2 diabetes mellitus without complications?

Type 2 diabetes is a disease that prevents someone from properly regulating their blood glucose levels. The pancreas produces a hormone called insulin, which regulates the level of glucose in a person's blood. Insulin helps glucose present in the blood enter cells in the body. Cells use this glucose for energy.

What is the ICD-10 code for history of diabetes mellitus?

Z83. 3 - Family history of diabetes mellitus. ICD-10-CM.

What is the ICD-10 code for family history of diabetes?

ICD-10 code: Z83. 3 Family history of diabetes mellitus.

What is the ICD-10 code for diet controlled diabetes?

Type 2 diabetes mellitus without complications The 2022 edition of ICD-10-CM E11. 9 became effective on October 1, 2021. This is the American ICD-10-CM version of E11.

What is the ICD-10 code for diabetes?

For gestational diabetes (diabetes that occurs during pregnancy) women should be assigned a code under the 024.4 subheading and not any other codes under the 024 category.

What type of diabetes codes should be used?

If the type of diabetes that the patient has is not documented in the medical record, E11 codes for type 2 diabetes should be used as a default. If the medical record doesn’t say what type of diabetes the patient has but indicates that the patient uses insulin, the Type 2 diabetes codes should also be used.

When to use unspecified ICD-10?

The “unspecified” codes can be used when not enough information is known to give a more specific diagnosis; in that case, “unspecified” is technically more accurate than a more specific but as yet unconfirmed diagnosis. For more guidelines on using ICD-10 codes for diabetes mellitus, you can consult this document.

ICD-10 Codes for Diabetes Mellitus Type 2

ICD10 Codes (E11) Type 2 diabetes mellitus includes insulin resistant diabetes (mellitus), diabetes (mellitus) due to insulin secretory defect and diabetes NOS.

ICD 10 codes for diabetes mellitus Type 2 with ophthalmic complications

E11.311 Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema.

Diabetes mellitus Type 2 ICD10 codes with neurological complications

E11.49 Type 2 diabetes mellitus with other diabetic neurological complication.

What is the correct ICD-9 code for diabetes mellitus?

Most coders can quickly come up with 250.00. And if the physician only documented diabetes mellitus , that’s the correct ICD-9-CM code. If a physician doesn’t document complications or type of diabetes, coders default to code 250.00 (diabetes mellitus without mention of complications), says Jill Young, CPC, CEDC, CIMC, president of Young Medical Consulting, LLC, in East Lansing, MI. However, 250.00 is not necessarily the best code to describe the patient’s actual condition. Consider these two patients. Patient A is a type 2 diabetic with well controlled diabetes. Patient B is a type 2 diabetic with uncontrolled diabetes who also suffers from diabetes-related chronic kidney disease. If the physician documents “diabetes mellitus” for both patients, coders would report the same code, even though the patients have very different conditions. The physician loses reimbursement on Patient B, who is sicker and requires more care, Young says. Coding in ICD-9-CM When it comes to the code assignment for diabetes mellitus in ICD-9-CM (250 code series), coders identify whether the diabetes is type 1or 2 using a fifth digit, says Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS, director of HIM/coding for HCPro, Inc., in Danvers, Mass, and an AHIMA-approved ICD-10-CM/PCS trainer. If the diabetes is secondary, coders choose from codes in the 249 series. Under series 250, coders will find 10 different subcategories that further define and refine the patient’s actual condition. All of those codes require a fifth digit to indicate whether the diabetes is controlled or uncontrolled, type 1or type 2. The fifth digit subclassifications are: Coders also need to note that codes 250.4, 250.5, 250.6, 250.7, and 250.8 all include instructions to use an additional code to ide Continue reading >>

What is diabetes mellitus?

A heterogeneous group of disorders characterized by hyperglycemia and glucose intolerance. A metabolic disorder characterized by abnormally high blood sugar levels due to diminished production of insulin or insulin resistance/desensitization. A subclass of diabetes mellitus that is not insulin-responsive or dependent (niddm). It is characterized initially by insulin resistance and hyperinsulinemia; and eventually by glucose intolerance; hyperglycemia; and overt diabetes. Type ii diabetes mellitus is no longer considered a disease exclusively found in adults. Patients seldom develop ketosis but often exhibit obesity. A type of diabetes mellitus that is characterized by insulin resistance or desensitization and increased blood glucose levels. This is a chronic disease that can develop gradually over the life of a patient and can be linked to both environmental factors and heredity. Diabetes is a disease in which your blood glucose, or sugar, levels are too high. Glucose comes from the foods you eat. Insulin is a hormone that helps the glucose get into your cells to give them energy. With type 1 diabetes, your body does not make insulin. With type 2 diabetes, the more common type, your body does not make or use insulin well. Without enough insulin, the glucose stays in your blood.over time, having too much glucose in your blood can cause serious problems. It can damage your eyes, kidneys, and nerves. Diabetes can also cause heart disease, stroke and even the need to remove a limb. Pregnant women can also get diabetes, called gestati Continue reading >>

Is there more than one type of diabetes?

I'm pretty sure all of you who made it thus far in this article are familiar with the fact that there are at least two major types of diabetes: type I, or juvenile, and type II, with usual (though not mandatory) adult onset. Just like ICD-9, ICD-10 has different chapters for the different types of diabetes. The table below presents the major types of diabetes, by chapters, in both ICD coding versions. Diabetes Coding Comparison ICD-9-CM ICD-10-CM 249._ - Secondary diabetes mellitus E08._ - Diabetes mellitus due to underlying condition E09._ - Drug or chemical induced diabetes mellitus E13._ - Other specified diabetes mellitus 250._ - Diabetes mellitus E10._ - Type 1 diabetes mellitus E11._ - Type 2 diabetes mellitus 648._ - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium O24._ - Gestational diabetes mellitus in pregnancy 775.1 - Neonatal diabetes mellitus P70.2 - Neonatal diabetes mellitus This coding structure for diabetes in ICD-10 is very important to understand and remember, as it is virtually always the starting point in assigning codes for all patient encounters seen and treated for diabetes. How To Code in ICD-10 For Diabetes 1. Determine Diabetes Category Again, "category" here refers to the four major groups above (not just to type 1 or 2 diabetes): E08 - Diabetes mellitus due to underlying condition E09 - Drug or chemical induced diabetes mellitus E10 - Type 1 diabetes mellitus E11 - Type 2 diabetes mellitus E13 - Other specified diabetes mellitus Note that, for some reason, E12 has been skipped. Instructions on Diabetes Categories Here are some basic instructions on how to code for each of the diabetes categories above: E08 - Diabetes mellitus due to underlying condition. Here, it is Continue reading >>

image