icd-11 code for diabetes mellitus

by Brain Ritchie 7 min read

5A11 Type 2 diabetes mellitus - ICD-11 MMS.

Full Answer

What is the ICD 10 code for borderline diabetes?

  • Treatment of hyperglycemia in diabetes should be progressively intensified as necessary to control blood glucose to target ranges.
  • This requires, first, establishing goals, especially for hemoglobin A1c and avoidance of unacceptable hypoglycemia.
  • It then requires adjusting therapy to reach those targets.

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What is the CPT code for diabetes?

  • One face-to-face visit every week for the first month
  • One face-to-face visit every other week for months 2–6
  • One face-to-face visit every month for months 7–12, if the beneficiary meets the 3 kg (6.6 pounds) weight loss requirement during the first 6 months

What is the medical code for diabetes?

  • That DSMT is needed.
  • If DSMT is to be group or individual.
  • If individual, one or more of the 3 conditions that warrant individual DSMT. ...
  • The number of initial hours to be furnished (10 hours, or fewer than 10 hours).
  • The topics to be taught (i.e., all 10 topics or only specific topic (s), such as nutrition).
  • The diagnosis or valid, ICD-10 diagnosis code. ...

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What is the ICD 9 code for elevated glucose?

  • NON-BILLABLE CODE - R73.0 for Abnormal glucose
  • BILLABLE CODE - Use R73.01 for Impaired fasting glucose
  • BILLABLE CODE - Use R73.02 for Impaired glucose tolerance (oral)
  • BILLABLE CODE - Use R73.03 for Prediabetes
  • BILLABLE CODE - Use R73.09 for Other abnormal glucose
  • BILLABLE CODE - Use R73.9 for Hyperglycemia, unspecified


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

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. Code I10 is the diagnosis code used for Type 2 Diabetes Mellitus.

What type of diabetes is category E11 Type 2 diabetes mellitus?

TABLE 3.CodeUsed to report type 2 diabetes with:E11.339With moderate nonproliferative diabetic retinopathy without macular edemaE11.34With severe nonproliferative diabetic retinopathyE11.341With severe nonproliferative diabetic retinopathy with macular edema48 more rows

What is icd10 code for diabetes?

Diabetes mellitus (E10-E14)CodeTitle.0With coma Incl.: Diabetic: coma with or without ketoacidosis hyperosmolar coma hypoglycaemic coma Hyperglycaemic coma NOS.1With ketoacidosis Incl.: Diabetic: acidosis ketoacidosis without mention of coma8 more rows

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

Z13. 1 Encounter for screening for diabetes mellitus - ICD-10-CM Diagnosis Codes.

What is the difference between E11 21 and E11 22?

E11. 22 states within its code DM with CKD therefore it is a more accurate code than E11. 21 which is just DM with Nephropathy (any kidney condition).

What is E11 65 code?

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

How do you code diabetes?

Codes under categories E08, Diabetes mellitus due to underlying condition, E09, Drug- or chemical-induced diabetes mellitus, and E13, Other specified diabetes mellitus, identify complications/manifestations associated with secondary diabetes mellitus.

When do you use E11 8?

– E11. 8 is used when a patient has complications from diabetes that are not specified by the provider. – E11. 69 should only be used if the complication of diabetes is not listed under any other code.

What is ICD 10 code for diabetes with complications?

Type 2 diabetes mellitus with other specified complication E11. 69 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM E11. 69 became effective on October 1, 2021.

What is the ICD-10 code for pre diabetes?

The ICD-10 code for prediabetes is R73. 09.

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 ICD-10 code for insulin dependent diabetes mellitus?

Z79. 4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z79. 4 became effective on October 1, 2021.

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.

What is the use of additional code in diabetes?

Use Additional Code. The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.

What is diabetes mellitus type 2?

Diabetes Mellitus, Type 2 -. 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.