Diabetes Mellitus ICD-10-CM Codes | 2023
Discover the comprehensive list of Diabetes Mellitus ICD-10-CM codes, facilitating accurate diagnosis and efficient medical management.
Fact Checked by Ericka Pingol.
What ICD-10 Codes are Used for Diabetes Mellitus?
Diabetes Mellitus is a chronic metabolic disorder characterized by high blood sugar levels due to insufficient insulin production or insulin resistance. It is categorized in the ICD-10-CM coding system under the E08-E13 range, specifically under the codes E08-E13.9. These codes are used to accurately classify and document various types and complications of diabetes mellitus. Here are six commonly used ICD-10-CM codes for diabetes mellitus, along with their clinical descriptions:
E08.9 - Diabetes Mellitus Due to Underlying Condition without Complications:
This code is used when a patient has diabetes mellitus caused by an underlying condition, such as drug-induced diabetes, without any associated complications.
E09.9 - Drug or Chemical-Induced Diabetes Mellitus without Complications:
This code is used when diabetes mellitus is caused by certain medications or chemical exposure without any related complications.
E10.9 - Type 1 Diabetes Mellitus without Complications:
This code is used for uncomplicated cases of Type 1 diabetes mellitus, characterized by the body's inability to produce insulin.
E11.9 - Type 2 Diabetes Mellitus without Complications:
This code is used for uncomplicated cases of Type 2 diabetes mellitus, which is characterized by insulin resistance and inadequate insulin production.
E13.9 - Other Specified Diabetes Mellitus without Complications:
This code is used when the specific type of diabetes mellitus is known but not covered by the other categories and there are no related complications.
E11.65 - Type 2 Diabetes Mellitus with Hyperglycemia:
This code is used when a patient with Type 2 diabetes mellitus experiences high blood sugar levels without any specified complications.
Which Diabetes Mellitus ICD codes are Billable?
E08.9 - Diabetes Mellitus Due to Underlying Condition without Complications
This code is billable because it represents a specific type of diabetes mellitus caused by an underlying condition and does not include any associated complications. Healthcare providers can use this code to document and bill for this particular diagnosis accurately.
E09.9 - Drug or Chemical Induced Diabetes Mellitus without Complications
This code is billable as it indicates diabetes mellitus caused by medication or chemical exposure without any related complications. Proper documentation of this code ensures accurate billing for this type of diabetes mellitus.
E10.9 - Type 1 Diabetes Mellitus without Complications
This code is billable for uncomplicated cases of Type 1 diabetes mellitus, characterized by the body's inability to produce insulin. Accurate billing with this code aids in appropriate reimbursement for treating and managing Type 1 diabetes without complications.
E11.9 - Type 2 Diabetes Mellitus without Complications
This code is billable for uncomplicated cases of Type 2 diabetes mellitus, which involves insulin resistance and inadequate insulin production. Healthcare providers can use this code to bill for the diagnosis and management of Type 2 diabetes without any associated complications.
E13.9 - Other Specified Diabetes Mellitus without Complications
This code is billable for cases where a specific type of diabetes mellitus is known but not covered by the other categories and there are no related complications. Proper billing with this code ensures accurate reimbursement for this specific diagnosis.
E11.65 - Type 2 Diabetes Mellitus with Hyperglycemia
This code is billable as it represents Type 2 diabetes mellitus with elevated blood sugar levels without any specified complications. Accurate billing using this code facilitates appropriate reimbursement for treating and managing Type 2 diabetes with hyperglycemia.
Clinical Information
- Diabetes Mellitus is a chronic metabolic disorder characterized by elevated blood sugar levels due to insufficient insulin production or ineffective insulin utilization.
- It is a primary public health concern with significant morbidity and mortality rates worldwide.
- The disease is classified into types: Type 1, Type 2, gestational diabetes, and other specified types.
- Type 1 diabetes results from destroying insulin-producing beta cells in the pancreas, leading to an absolute insulin deficiency.
- Type 2 diabetes is characterized by insulin resistance and impaired insulin secretion. It is often associated with lifestyle factors such as obesity and physical inactivity.
- Gestational diabetes occurs during pregnancy and increases maternal and fetal complications risk.
- Diabetes can lead to various complications, including cardiovascular disease, neuropathy, nephropathy, retinopathy, and increased infection susceptibility.
- Regular monitoring of blood glucose levels, dietary management, physical activity, and medication are essential for diabetes management.
- Treatment approaches include lifestyle modifications, oral antidiabetic medications, insulin therapy, and, in some cases, bariatric surgery.
- Comprehensive diabetes care involves a multidisciplinary approach, including healthcare professionals specializing in endocrinology, nutrition, ophthalmology, and podiatry.
- Patient education, self-care management, and long-term monitoring are crucial to prevent or manage complications and maintain optimal quality of life for individuals with diabetes.
Synonyms Include:
- Sugar Diabetes
- High Blood Sugar
- Hyperglycemia
- Sweet Urine Disease
- Sugar Disease
Commonly asked questions
Yes, ICD-10-CM provides codes to document complications associated with Diabetes Mellitus. These complications may include cardiovascular disease, neuropathy, nephropathy, and retinopathy. Specific codes within the range E08-E13 are used to capture these complications.
No, the ICD-10-CM codes for Diabetes Mellitus are specific to the type and presence of complications. It is important to accurately assign the appropriate code based on the specific diagnosis and any associated complications.
Accurate coding for Diabetes Mellitus involves thorough documentation of the type of diabetes, related complications, and other relevant factors. Healthcare providers should stay updated with the latest coding guidelines and consult resources such as coding manuals or electronic tools for proper code selection.
