E11.65 – Type 2 diabetes mellitus with hyperglycemia
Learn what the ICD-10-CM code E11.65 entails, from its clinical information to related ICD-10 codes by reading this short guide.
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E11.65 Diagnosis Code: Type 2 diabetes mellitus with hyperglycemia
The E11.65 is an ICD code that’s included in the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), and it is used to designate “Type 2 diabetes mellitus with hyperglycemia.”
There are two types of diabetes, Type 1 and Type 2. For Type 1 Diabetes, the pancreas don’t make insulin at all. For Type 2 Diabetes, the pancreas still make insulin, but they don’t make enough to bypass the resistance that the body develops against the effects of insulin.
This ICD-10 code is meant to be used for people confirmed to have Type 2 Diabetes, plus, they are hyperglycemic.
Is the E11.65 billable?
Yes, the E11.65 ICD-10 code is billable and can be used to designate a patient for reimbursement purposes.
E11.65 clinical information:
Type 2 Diabetes Mellitus is commonly found in middle-aged adults or those who are already in their late adulthood. To reiterate, this type of diabetes is characterized by the pancreas producing less insulin for the body. Type 2 diabetics develop a resistance to the effects of insulin, so if the diabetic doesn’t’ get enough insulin to counteract the insulin resistance, glucose will build up in their blood, which is not good.
Type 2 diabetics have the following symptoms:
- They lose significant weight in just a short time
- They become more prone to infections
- They are unusually hungry or thirsty
- They urinate excessively
- They have high blood glucose levels (which is what hyperglycemia is)
In the case of this ICD-10 code, the patient has hyperglycemia, meaning they have high blood glucose levels. This is not good because they can develop hyperosmolar syndrome, which is a life-threatening condition characterized by the high concentration of salt and glucose in the blood.
E11.65 synonyms include:
- Diabetic - poor control
- Hemoglobin A1C - diabetic control finding
- Hemoglobin A1c greater than 9% indicating poor diabetic control
- Hyperglycemia due to diabetes mellitus
- Hyperglycemia due to type 2 diabetes mellitus
- Hyperglycemic crisis due to diabetes mellitus
Other ICD-10 codes commonly used for Type 2 Diabetes:
- E11.00 - Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
- E11.01 - Type 2 diabetes mellitus with hyperosmolarity with coma
- E11.10 - Type 2 diabetes mellitus with ketoacidosis without coma
- E11.11 - Type 2 diabetes mellitus with ketoacidosis with coma
- 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
- E11.311 - Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
- E11.319 - Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
- E11.3211 - Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
- E11.3212 - Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
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Commonly asked questions
Yes, this ICD-10 code is billable.
It’s best to use this code once the patient is confirmed to have Type 2 Diabetes and they are hyperglycemic.
Insulin, metformin, GLP-1 receptor agonists, SGLT2 inhibitors, proper weight loss, diet adjustments. If the hyperglycemia is severe, then fluid replacement, electrolyte replacement, and insulin therapy will be part of the treatment.
