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ICD-10 Coding for Uncontrolled Type 2 Diabetes(E11.65, E11.0, E11.6)

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Learn about ICD-10 coding for uncontrolled type 2 diabetes with hyperglycemia, including documentation requirements and coding tips.

Also known as:
Type 2 Diabetes with HyperglycemiaPoorly Controlled Type 2 Diabetesinadequately controlled type 2 diabetes
Related ICD-10 Code Ranges

Complete code families applicable to Uncontrolled Type 2 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

Documentation & Coding Risks

Avoid these common issues when documenting Uncontrolled Type 2 Diabetes.

Failing to document hyperglycemia explicitly.

Impact

Clinical: Misrepresentation of patient's condition., Regulatory: Non-compliance with coding standards., Financial: Reduced reimbursement due to incorrect DRG assignment.

Mitigation

Educate providers on documentation requirements., Implement documentation checklists.

Coding E11.9 when hyperglycemia is present but not documented.

Impact

Reimbursement: Potential loss of MCC status affecting DRG reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation

Query the provider for clarification on hyperglycemia.

Documentation of hyperglycemia

Impact

Risk of audits if hyperglycemia is not documented but coded.

Mitigation

Regular audits of documentation practices.

Frequently Asked Questions

Related condition guides

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