2027 ICD-10-CM Diagnosis Code E11Type 2 diabetes mellitus
E11 is a non-billable ICD-10-CM category code for type 2 diabetes mellitus, so it cannot be submitted on claims. Use a more specific code from this category instead, such as E11.00, E11.01, E11.10, and E11.11.
Code Identity
Code Classification
Specific Coding for Type 2 diabetes mellitusOverview
Non-specific codes like E11 require more characters. Use one of these billable codes instead:
E11.0 for Type 2 diabetes mellitus with hyperosmolarity
Use E11.00 for Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
Use E11.01 for Type 2 diabetes mellitus with hyperosmolarity with coma
E11.1 for Type 2 diabetes mellitus with ketoacidosis
Use E11.10 for Type 2 diabetes mellitus with ketoacidosis without coma
Use E11.11 for Type 2 diabetes mellitus with ketoacidosis with coma
E11.2 for Type 2 diabetes mellitus with kidney complications
Use E11.21 for Type 2 diabetes mellitus with diabetic nephropathy
Use E11.22 for Type 2 diabetes mellitus with diabetic chronic kidney disease
Use E11.29 for Type 2 diabetes mellitus with other diabetic kidney complication
E11.3 for Type 2 diabetes mellitus with ophthalmic complications
E11.31 for Type 2 diabetes mellitus with unspecified diabetic retinopathy
E11.32 for Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy
E11.33 for Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy
E11.34 for Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy
E11.35 for Type 2 diabetes mellitus with proliferative diabetic retinopathy
Use E11.36 for Type 2 diabetes mellitus with diabetic cataract
E11.37 for Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment
Use E11.39 for Type 2 diabetes mellitus with other diabetic ophthalmic complication
E11.4 for Type 2 diabetes mellitus with neurological complications
Use E11.40 for Type 2 diabetes mellitus with diabetic neuropathy, unspecified
Use E11.41 for Type 2 diabetes mellitus with diabetic mononeuropathy
Use E11.42 for Type 2 diabetes mellitus with diabetic polyneuropathy
Use E11.43 for Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy
Use E11.44 for Type 2 diabetes mellitus with diabetic amyotrophy
Use E11.49 for Type 2 diabetes mellitus with other diabetic neurological complication
E11.5 for Type 2 diabetes mellitus with circulatory complications
Use E11.51 for Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
Use E11.52 for Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
Use E11.59 for Type 2 diabetes mellitus with other circulatory complications
E11.6 for Type 2 diabetes mellitus with other specified complications
E11.61 for Type 2 diabetes mellitus with diabetic arthropathy
E11.62 for Type 2 diabetes mellitus with skin complications
E11.63 for Type 2 diabetes mellitus with oral complications
E11.64 for Type 2 diabetes mellitus with hypoglycemia
Use E11.65 for Type 2 diabetes mellitus with hyperglycemia
Use E11.69 for Type 2 diabetes mellitus with other specified complication
Use E11.8 for Type 2 diabetes mellitus with unspecified complications
Use E11.9 for Type 2 diabetes mellitus without complications
Use E11.A for Type 2 diabetes mellitus without complications in remission
Coding GuidelinesGuidance
The diabetes mellitus codes are combination codes that include the type of diabetes mellitus, the body system affected, and the complications affecting that body system. As many codes within a particular category as are necessary to describe all of the complications of the disease may be used. They should be sequenced based on the reason for a particular encounter. Assign as many codes from categories E08 - E13 as needed to identify all of the associated conditions that the patient has.
If the type of diabetes mellitus is not documented in the medical record the default is E11.-, Type 2 diabetes mellitus.
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to E11: its own notes plus those printed at Chapter 4. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- diabetes (mellitus) due to insulin secretory defect
- diabetes NOS
- insulin resistant diabetes (mellitus)
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- diabetes mellitus due to underlying condition (E08.-)
- drug or chemical induced diabetes mellitus (E09.-)
- gestational diabetes (O24.4-)
- neonatal diabetes mellitus (P70.2)
- postpancreatectomy diabetes mellitus (E13.-)
- postprocedural diabetes mellitus (E13.-)
- secondary diabetes mellitus NEC (E13.-)
- type 1 diabetes mellitus (E10.-)
Use Additional Code
Add a second code, after this one, to fully describe the condition.
Notes
General instructions on how these codes are used.
- All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name E11, its category, or a range that includes it.
Excludes1 4
These codes carry an Excludes1 note naming E11: they are not reported together with it, unless the two conditions are unrelated.
- E08 Diabetes mellitus due to underlying conditiontype 2 diabetes mellitus (E11.-)
- E09 Drug or chemical induced diabetes mellitustype 2 diabetes mellitus (E11.-)
- E10 Type 1 diabetes mellitustype 2 diabetes mellitus (E11.-)
- E87.2 Acidosisdiabetic acidosis - see categories E08-E10, E11, E13 with ketoacidosis
Excludes2 1
These codes carry an Excludes2 note naming E11: its condition is not part of those codes, and both may be reported when the patient has both.
- E87.0 Hyperosmolality and hypernatremiadiabetes with hyperosmolarity (E08, E09, E11, E13 with final characters .00 or .01)
Use Additional Code 2
These codes say to use an additional code from the note, and E11 is one of the codes named.
Clinical InformationClinical
Diabetes Mellitus, Type 2
a subclass of diabetes mellitus that is not insulin-responsive or dependent (niddm). it is characterized initially by insulin resistance and hyperinsulinemia; and eventually by glucose intolerance; hyperglycemia; and overt diabetes. type ii diabetes mellitus is no longer considered a disease exclusively found in adults. patients seldom develop ketosis but often exhibit obesity.
Patient EducationClinical
Diabetes Type 2
Type 2 diabetes is a disease in which your blood glucose, or blood sugar, levels are too high. Glucose is your main source of energy. It comes from the foods you eat. A hormone called insulin helps the glucose get into your cells to give them energy. If you have diabetes, your body doesn't make enough insulin or doesn't use insulin well.
The full article covers:
- What is type 2 diabetes?
- What causes type 2 diabetes?
- Who is at risk for type 2 diabetes?
- What are the symptoms of type 2 diabetes?
- How is type 2 diabetes diagnosed?
- What are the treatments for type 2 diabetes?
- Can type 2 diabetes be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About E11Overview
What is the ICD-10 code for type 2 diabetes mellitus?
E11 is the ICD-10-CM category for type 2 diabetes mellitus, but it is a non-billable header: claims need a more specific code from this category, listed on this page.
Is E11 (Type 2 diabetes mellitus) a billable code?
No. This is a category header that groups the codes for type 2 diabetes mellitus, and headers cannot be submitted on claims. Claims for type 2 diabetes mellitus need a more specific code from this category, such as E11.00, E11.01, and E11.10.
Can E11 be reported with a code from E08?
Not as a rule. The Excludes1 note on E11 lists "diabetes mellitus due to underlying condition (E08.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
Does E11 need an additional code?
When the condition applies, yes. The Use Additional Code note reads: code to identify control using: injectable non-insulin antidiabetic drugs (Z79.85); insulin (Z79.4); oral antidiabetic drugs (Z79.84); oral hypoglycemic drugs (Z79.84). The additional code is reported after E11.