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

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Explore ICD-10 coding for uncontrolled diabetes, including codes for hyperglycemia and hypoglycemia. Learn documentation requirements and coding tips.

Also known as:
Poorly Controlled DiabetesOut of Control Diabetesdiabetes mellitus uncontrolled
Related ICD-10 Code Ranges

Complete code families applicable to Uncontrolled Diabetes

E00-E89Primary Range

Endocrine, nutritional and metabolic diseases

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescription
E11.65Type 2 diabetes mellitus with hyperglycemia
E11.649Type 2 diabetes mellitus with hypoglycemia without coma
E11.9Type 2 diabetes mellitus without complications
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

Use when documentation states 'uncontrolled' without specifying hyperglycemia or hypoglycemia.

Documentation & Coding Risks

Avoid these common issues when documenting Uncontrolled Diabetes.

Using E11.9 when hyperglycemia is documented

Impact

Clinical: Misrepresents the patient's condition., Regulatory: Non-compliance with coding guidelines., Financial: Potential loss of reimbursement.

Mitigation

Review documentation for specific terms., Query provider if documentation is unclear.

Coding E11.65 without documentation of hyperglycemia

Impact

Reimbursement: Incorrect coding can lead to improper reimbursement., Compliance: May result in compliance issues during audits., Data Quality: Affects the accuracy of patient records and data quality.

Mitigation

Ensure hyperglycemia is explicitly documented or query the provider.

Documentation of hyperglycemia

Impact

Risk of audits if hyperglycemia is not documented but coded.

Mitigation

Ensure all documentation explicitly states hyperglycemia when coding E11.65.

Frequently Asked Questions

Related condition guides

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