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

Is E11.69 billable? 

Yes. E11.69 is billable for insurance reimbursement purposes.

Clinical information

• Diabetes mellitus, more commonly known as diabetes, has several types. Type 2 diabetes, part of the diagnosis mentioned in the code, is the most common type of diabetes. 
• It differs from the other types because of two things: the muscle, fat, and liver cells are insulin-resistant, and the pancreas cannot make enough insulin to keep the blood sugar levels within the healthy range. 
• If left undetected, unmanaged, or untreated, type 2 diabetes may lead the patients to develop complications like eye diseases, nerve damage, kidney disease, slow healing, vision loss, heart disease, etc. Patients may also develop other unusual yet specific complications - all of which practitioners can apply the code to. 
• Symptoms of this type of diabetes develop slowly, so patients may be unable to recognize the symptoms. However, for security's sake, some possible symptoms are darkened skin on specific body parts, increased thirst, frequent urination, fatigue, unexplained weight loss, slow healing cuts/sores, and frequent skin infections. 
• Since it was mentioned that symptoms may not be recognized immediately, it's important to consider who is most likely to develop Type 2 diabetes. People with the following factors are at high risk of diabetes: overweight, uneven fat distribution, mostly in the abdomen, family history of type 2 diabetes, low levels of “good” cholesterol, lack of physical activity, old age, and polycystic ovary syndrome.
• To diagnose diabetes, patients must have their blood sugar checked via a blood test. 
• Regarding treatment, currently, diabetes has no cure and therefore has to be managed. To manage this disease, patients must monitor their blood sugar, take particular medications or insulin, opt to live a healthy lifestyle, exercise often, and maintain a healthy weight, cholesterol level, and blood pressure.

Synonyms include

• Abnormal metabolic state due to diabetes mellitus
• At high risk of ulcer of foot due to diabetes mellitus
• Dyslipidemia with high-density lipoprotein below reference range and triglycerides above reference range due to type 2 diabetes mellitus
• Erectile dysfunction due to type 2 diabetes mellitus
• Mixed hyperlipidemia due to type 2 diabetes mellitus
• Osteomyelitis due to type 2 diabetes mellitus
• Severe malnutrition due to type 2 diabetes mellitus

Other ICD-10 codes commonly used for type 2 diabetes mellitus

• E11.0: Type 2 diabetes mellitus with hyperosmolarity
• E11.1: Type 2 diabetes mellitus with ketoacidosis
• E11.2: Type 2 diabetes mellitus with kidney complications
• E11.3: Type 2 diabetes mellitus with ophthalmic complications
• E11.4: Type 2 diabetes mellitus with neurological complications
• E11.5: Type 2 diabetes mellitus with circulatory complications
• E11.8: Type 2 diabetes mellitus with unspecified complications
• E11.9: Type 2 diabetes mellitus without complications