Category · FY2027
E11 Type 2 diabetes mellitus
- Header · not billable
- Some codes take a 7th character
E11 is not billable. The category heads 87 billable codes in FY2027, grouped under 10 subdivisions.
ICD-10 code by name
- What is the ICD-10 code for type 2 diabetes?
- Type 2 diabetes ICD-10 code: E11.9 Type 2 diabetes mellitus without complications. Alphabetic Index: Diabetes, diabetic (mellitus) (sugar)›type 2 → E11.9. Search ICD-10 for type 2 diabetes
- What is the ICD-10 code for diabetes?
- Diabetes ICD-10 code: E11.9 Type 2 diabetes mellitus without complications. Alphabetic Index: Diabetes, diabetic (mellitus) (sugar) → E11.9. Search ICD-10 for diabetes
- What is the ICD-10 code for diabetes mellitus?
- Diabetes mellitus ICD-10 code: E11.9 Type 2 diabetes mellitus without complications. Alphabetic Index: Diabetes, diabetic (mellitus) (sugar) → E11.9. Search ICD-10 for diabetes mellitus
Where it sits
- Chapter 4 Endocrine, nutritional and metabolic diseases (E00-E89)
- E08-E13 Diabetes mellitus (E08-E13)
- E11 Type 2 diabetes mellitus
- Billable codes
- 87
- Subdivisions
- 10
- CC / MCC codes
- 1 / 5
- HCC V28 codes
- 86
- New FY2027
- 0
- Index entries
- 131
Codes in E11
- E11.0Type 2 diabetes mellitus with hyperosmolarityHeader
- E11.00Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)BillableMCC36
- E11.01Type 2 diabetes mellitus with hyperosmolarity with comaBillableMCC36
- E11.1Type 2 diabetes mellitus with ketoacidosisHeader
- E11.10Type 2 diabetes mellitus with ketoacidosis without comaBillableMCC36
- E11.11Type 2 diabetes mellitus with ketoacidosis with comaBillableMCC36
- E11.2Type 2 diabetes mellitus with kidney complicationsHeader
- E11.21Type 2 diabetes mellitus with diabetic nephropathyBillable37
Inclusion terms 3
Inclusion terms
- Type 2 diabetes mellitus with intercapillary glomerulosclerosis
- Type 2 diabetes mellitus with intracapillary glomerulonephrosis
- Type 2 diabetes mellitus with Kimmelstiel-Wilson disease
- E11.22
- E11.29Type 2 diabetes mellitus with other diabetic kidney complicationBillable37
Inclusion terms 1
Inclusion terms
- Type 2 diabetes mellitus with renal tubular degeneration
- E11.3Type 2 diabetes mellitus with ophthalmic complicationsHeader
- E11.31Type 2 diabetes mellitus with unspecified diabetic retinopathyHeader
- E11.311Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edemaBillable37 298
- E11.319Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edemaBillable37
- E11.32Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathyHeader
Inclusion terms 1
Inclusion terms
- Type 2 diabetes mellitus with nonproliferative diabetic retinopathy NOS
- E11.321Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema +7th: 1 2 3 9Needs 7th character37 298 (all 7th characters)
- E11.329Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema +7th: 1 2 3 9Needs 7th character37 (all 7th characters)
- E11.33Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathyHeader
- E11.331Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema +7th: 1 2 3 9Needs 7th character37 298 (all 7th characters)
- E11.339Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema +7th: 1 2 3 9Needs 7th character37 (all 7th characters)
- E11.34Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathyHeader
- E11.341Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema +7th: 1 2 3 9Needs 7th character37 298 (all 7th characters)
- E11.349Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema +7th: 1 2 3 9Needs 7th character37 (all 7th characters)
- E11.35Type 2 diabetes mellitus with proliferative diabetic retinopathyHeader
- E11.351Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema +7th: 1 2 3 9Needs 7th character37 298 (all 7th characters)
- E11.352Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula +7th: 1 2 3 9Needs 7th character37 298 (all 7th characters)
- E11.353Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula +7th: 1 2 3 9Needs 7th character37 298 (all 7th characters)
- E11.354Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment +7th: 1 2 3 9Needs 7th character37 298 (all 7th characters)
- E11.355Type 2 diabetes mellitus with stable proliferative diabetic retinopathy +7th: 1 2 3 9Needs 7th character37 298 (all 7th characters)
- E11.359Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema +7th: 1 2 3 9Needs 7th character37 298 (all 7th characters)
- E11.36Type 2 diabetes mellitus with diabetic cataractBillable37
- E11.37Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment +7th: 1 2 3 9Needs 7th character37 (all 7th characters)
- E11.39
- E11.4Type 2 diabetes mellitus with neurological complicationsHeader
- E11.40Type 2 diabetes mellitus with diabetic neuropathy, unspecifiedBillable37
- E11.41Type 2 diabetes mellitus with diabetic mononeuropathyBillable37
- E11.42Type 2 diabetes mellitus with diabetic polyneuropathyBillable37
Inclusion terms 1
Inclusion terms
- Type 2 diabetes mellitus with diabetic neuralgia
- E11.43Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathyBillable37
Inclusion terms 1
Inclusion terms
- Type 2 diabetes mellitus with diabetic gastroparesis
- E11.44Type 2 diabetes mellitus with diabetic amyotrophyBillable37
- E11.49Type 2 diabetes mellitus with other diabetic neurological complicationBillable37
- E11.5Type 2 diabetes mellitus with circulatory complicationsHeader
- E11.51Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangreneBillable37
- E11.52Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangreneBillableCC37 263
Inclusion terms 1
Inclusion terms
- Type 2 diabetes mellitus with diabetic gangrene
- E11.59Type 2 diabetes mellitus with other circulatory complicationsBillable37
- E11.6Type 2 diabetes mellitus with other specified complicationsHeader
- E11.61Type 2 diabetes mellitus with diabetic arthropathyHeader
- E11.610Type 2 diabetes mellitus with diabetic neuropathic arthropathyBillable37
Inclusion terms 1
Inclusion terms
- Type 2 diabetes mellitus with Charcôt's joints
- E11.618Type 2 diabetes mellitus with other diabetic arthropathyBillable37
- E11.62Type 2 diabetes mellitus with skin complicationsHeader
- E11.620Type 2 diabetes mellitus with diabetic dermatitisBillable37
Inclusion terms 1
Inclusion terms
- Type 2 diabetes mellitus with diabetic necrobiosis lipoidica
- E11.621
- E11.622
- E11.628Type 2 diabetes mellitus with other skin complicationsBillable37
- E11.63Type 2 diabetes mellitus with oral complicationsHeader
- E11.630Type 2 diabetes mellitus with periodontal diseaseBillable37
- E11.638Type 2 diabetes mellitus with other oral complicationsBillable37
- E11.64Type 2 diabetes mellitus with hypoglycemiaHeader
Use additional code 1
Use additional code
- code for hypoglycemia level, if applicable (E16.A-) E16.A
- E11.641Type 2 diabetes mellitus with hypoglycemia with comaBillableMCC36
- E11.649Type 2 diabetes mellitus with hypoglycemia without comaBillable38
- E11.65Type 2 diabetes mellitus with hyperglycemiaBillable38
- E11.69Type 2 diabetes mellitus with other specified complicationBillable37
Use additional code 1
Use additional code
- code to identify complication
- E11.8Type 2 diabetes mellitus with unspecified complicationsBillable38
- E11.9Type 2 diabetes mellitus without complications 1 billable codeBillable38
- E11.A
CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).
Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.
Instructions
At E11
Includes
- diabetes (mellitus) due to insulin secretory defect
- diabetes NOS
- insulin resistant diabetes (mellitus)
Excludes1
- diabetes mellitus due to underlying condition (E08.-) E08
- drug or chemical induced diabetes mellitus (E09.-) E09
- gestational diabetes (O24.4-) O24.4
- neonatal diabetes mellitus (P70.2) P70.2
- postpancreatectomy diabetes mellitus (E13.-) E13
- postprocedural diabetes mellitus (E13.-) E13
- secondary diabetes mellitus NEC (E13.-) E13
- type 1 diabetes mellitus (E10.-) E10
Notes that also apply
Chapter 4 instructions (Notes 1, Excludes1 1): printed on the chapter 4 page.
7th characters
7th characters for E11.32 defined at E11.32
One of the following 7th characters is to be assigned to codes in subcategory E11.32 to designate laterality of the disease:
| 7th | Meaning (NCHS) |
|---|---|
| 1 | right eye |
| 2 | left eye |
| 3 | bilateral |
| 9 | unspecified eye |
7th characters for E11.33 defined at E11.33
One of the following 7th characters is to be assigned to codes in subcategory E11.33 to designate laterality of the disease:
| 7th | Meaning (NCHS) |
|---|---|
| 1 | right eye |
| 2 | left eye |
| 3 | bilateral |
| 9 | unspecified eye |
7th characters for E11.34 defined at E11.34
One of the following 7th characters is to be assigned to codes in subcategory E11.34 to designate laterality of the disease:
| 7th | Meaning (NCHS) |
|---|---|
| 1 | right eye |
| 2 | left eye |
| 3 | bilateral |
| 9 | unspecified eye |
7th characters for E11.35 defined at E11.35
One of the following 7th characters is to be assigned to codes in subcategory E11.35 to designate laterality of the disease:
| 7th | Meaning (NCHS) |
|---|---|
| 1 | right eye |
| 2 | left eye |
| 3 | bilateral |
| 9 | unspecified eye |
7th characters for E11.37 defined at E11.37
One of the following 7th characters is to be assigned to code E11.37 to designate laterality of the disease:
| 7th | Meaning (NCHS) |
|---|---|
| 1 | right eye |
| 2 | left eye |
| 3 | bilateral |
| 9 | unspecified eye |
A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.
Index entries
- Diabetes, diabetic (mellitus) (sugar)›without complications in remission → E11.A
- Diabetes, diabetic (mellitus) (sugar)›with›hyperosmolarity → E11.00
- Diabetes, diabetic (mellitus) (sugar)›with›ketoacidosis → E11.10
- Diabetes, diabetic (mellitus) (sugar)›with›glomerulonephrosis, intracapillary → E11.21
- Diabetes, diabetic (mellitus) (sugar)›with›glomerulosclerosis, intercapillary → E11.21
- Diabetes, diabetic (mellitus) (sugar)›with›Kimmelstiel-Wilson disease → E11.21
- Diabetes, diabetic (mellitus) (sugar)›with›nephropathy → E11.21
- Diabetes, diabetic (mellitus) (sugar)›with›chronic kidney disease → E11.22
- Diabetes, diabetic (mellitus) (sugar)›with›kidney complications NEC → E11.29
- Diabetes, diabetic (mellitus) (sugar)›with›renal complication NEC → E11.29
- Diabetes, diabetic (mellitus) (sugar)›with›renal tubular degeneration → E11.29
- Diabetes, diabetic (mellitus) (sugar)›with›retinopathy → E11.319
- Diabetes, diabetic (mellitus) (sugar)›with›cataract → E11.36
- Diabetes, diabetic (mellitus) (sugar)›with›ophthalmic complication NEC → E11.39
- Diabetes, diabetic (mellitus) (sugar)›with›neuropathy → E11.40
- Diabetes, diabetic (mellitus) (sugar)›with›mononeuropathy → E11.41
- Diabetes, diabetic (mellitus) (sugar)›with›neuralgia → E11.42
- Diabetes, diabetic (mellitus) (sugar)›with›polyneuropathy → E11.42
- Diabetes, diabetic (mellitus) (sugar)›with›autonomic (poly)neuropathy → E11.43
- Diabetes, diabetic (mellitus) (sugar)›with›gastroparalysis → E11.43
- Diabetes, diabetic (mellitus) (sugar)›with›gastroparesis → E11.43
- Diabetes, diabetic (mellitus) (sugar)›with›amyotrophy → E11.44
- Diabetes, diabetic (mellitus) (sugar)›with›myasthenia → E11.44
- Diabetes, diabetic (mellitus) (sugar)›with›neurologic complication NEC → E11.49
- Diabetes, diabetic (mellitus) (sugar)›with›peripheral angiopathy → E11.51
- Diabetes, diabetic (mellitus) (sugar)›with›gangrene → E11.52
- Diabetes, diabetic (mellitus) (sugar)›with›circulatory complication NEC → E11.59
- Diabetes, diabetic (mellitus) (sugar)›with›Charcot's joints → E11.610
- Diabetes, diabetic (mellitus) (sugar)›with›neuropathic arthropathy → E11.610
- Diabetes, diabetic (mellitus) (sugar)›with›arthropathy NEC → E11.618
- Diabetes, diabetic (mellitus) (sugar)›with›dermatitis → E11.620
- Diabetes, diabetic (mellitus) (sugar)›with›necrobiosis lipoidica → E11.620
- Diabetes, diabetic (mellitus) (sugar)›with›foot ulcer → E11.621
- Diabetes, diabetic (mellitus) (sugar)›with›skin ulcer NEC → E11.622
- Diabetes, diabetic (mellitus) (sugar)›with›skin complication NEC → E11.628
- Diabetes, diabetic (mellitus) (sugar)›with›periodontal disease → E11.630
- Diabetes, diabetic (mellitus) (sugar)›with›oral complication NEC → E11.638
- Diabetes, diabetic (mellitus) (sugar)›with›hypoglycemia → E11.649
- Diabetes, diabetic (mellitus) (sugar)›with›hyperglycemia → E11.65
- Diabetes, diabetic (mellitus) (sugar)›with›osteomyelitis → E11.69
91 more, longer entries are not listed; the search box finds them by word.
NCHS Alphabetic Index. Index first, then the Tabular List.