Is E11.9 a billable ICD-10 code?

Yes. E11.9 is a billable and specific ICD-10-CM code that may be used to indicate a diagnosis for reimbursement purposes, provided documentation supports it.

What documentation supports E11.9?

Coding to unspecified when complications exist is a leading cause of lost risk-adjustment revenue. Review the full problem list annually: complications must be recaptured each year. Document the relationship between diabetes and any manifestation explicitly.

E11.9Billable code

ICD-10 Code E11.9: Type 2 diabetes mellitus without complications

Endocrine, nutritional and metabolic diseases

ICD-10 code E11.9 identifies type 2 diabetes mellitus without complications, the default code when no diabetic complication is documented.

Coding guidance

E11 is the parent category for type 2 diabetes mellitus, with subcategories specifying complications by body system.

E11.9 should only be used when the documentation contains no diabetic complication.

Diabetic complications require more specific codes such as E11.22 for diabetic chronic kidney disease or E11.40 for diabetic neuropathy.

Documentation and specificity notes

Coding to unspecified when complications exist is a leading cause of lost risk-adjustment revenue.
Review the full problem list annually: complications must be recaptured each year.
Document the relationship between diabetes and any manifestation explicitly.

Related codes

This page provides a general summary for educational purposes and is not a substitute for the official ICD-10-CM code set, the ICD-10-CM Official Guidelines for Coding and Reporting, or payer policy. Code sets are updated annually, verify against the current official release before billing.

FAQ

ICD-10 E11.9, frequently asked questions questions

What is ICD-10 code E11.9?: ICD-10 code E11.9 identifies type 2 diabetes mellitus without complications, the default code when no diabetic complication is documented.
Is E11.9 a billable ICD-10 code?: Yes. E11.9 is a billable and specific ICD-10-CM code that may be used to indicate a diagnosis for reimbursement purposes, provided documentation supports it.
What documentation supports E11.9?: Coding to unspecified when complications exist is a leading cause of lost risk-adjustment revenue. Review the full problem list annually: complications must be recaptured each year. Document the relationship between diabetes and any manifestation explicitly.

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