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ICD-10 Coding for Poorly Controlled Diabetes(E11.65, E10.65, E11.649)

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Learn about ICD-10 coding for poorly controlled diabetes, including code E11.65 for Type 2 diabetes with hyperglycemia.

Related ICD-10 Code Ranges

Complete code families applicable to Poorly Controlled Diabetes

E00-E89Primary Range

Endocrine, nutritional and metabolic diseases

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Primary ICD-10-CM Codes
Type 2 diabetes mellitus with hyperglycemia
E11.65Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Type 2 diabetes mellitus without complicationsE11.9
Type 2 diabetes mellitus with hypoglycemia without comaE11.649

Documentation & Coding Risks

Avoid these common issues when documenting Poorly Controlled Diabetes.

Documenting 'uncontrolled diabetes' without specifying type or control status.

Impact

Clinical: Leads to ambiguous clinical records., Regulatory: May result in coding errors., Financial: Potential for claim denials.

Mitigation

Specify type of diabetes and control status., Use precise terminology in documentation.

Using E11.65 without hyperglycemia documentation

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation

Ensure provider documents hyperglycemia explicitly.

Hyperglycemia Documentation

Impact

Risk of coding errors if hyperglycemia is not documented.

Mitigation

Ensure provider documentation includes hyperglycemia.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with E11.65.