Quality Payment Program Measure · Medicare QPP 278 Codes
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) ICD-10-CM
The quality measure Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) can apply to an encounter when one of 278 linked ICD-10-CM diagnosis codes appears on the claim. CMS designates it a high-priority measure, which MIPS scoring rewards. The full linked-code list is below, with billable status and each code's place in the tabular index.
✓ Built from CMS Quality Payment Program specificationsFY 2026 ICD-10-CM code set
278
Linked Codes
278
Billable
Yes
High Priority
FY 2026
Code Set
QPP
About This Measure
Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period.
Submission methods
Claims,electronichealthrecord,cmswebinterface,registry
ICD-10-CM
Linked ICD-10-CM Codes 278 codes · 278 billable
278 of 278 shown
| Code | Description | Category |
|---|---|---|
| E10.10 | Type 1 diabetes mellitus with ketoacidosis without coma | Type 1 diabetes mellitus (E10) |
| E10.11 | Type 1 diabetes mellitus with ketoacidosis with coma | Type 1 diabetes mellitus (E10) |
| E10.21 | Type 1 diabetes mellitus with diabetic nephropathy | Type 1 diabetes mellitus (E10) |
| E10.22 | Type 1 diabetes mellitus with diabetic chronic kidney disease | Type 1 diabetes mellitus (E10) |
| E10.29 | Type 1 diabetes mellitus with other diabetic kidney complication | Type 1 diabetes mellitus (E10) |
| E10.311 | Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema | Type 1 diabetes mellitus (E10) |
| E10.319 | Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | Type 1 diabetes mellitus (E10) |
| E10.3211 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye | Type 1 diabetes mellitus (E10) |
| E10.3212 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye | Type 1 diabetes mellitus (E10) |
| E10.3213 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral | Type 1 diabetes mellitus (E10) |
| E10.3219 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye | Type 1 diabetes mellitus (E10) |
| E10.3291 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye | Type 1 diabetes mellitus (E10) |
| E10.3292 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye | Type 1 diabetes mellitus (E10) |
| E10.3293 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral | Type 1 diabetes mellitus (E10) |
| E10.3299 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye | Type 1 diabetes mellitus (E10) |
| E10.3311 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye | Type 1 diabetes mellitus (E10) |
| E10.3312 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye | Type 1 diabetes mellitus (E10) |
| E10.3313 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral | Type 1 diabetes mellitus (E10) |
| E10.3319 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye | Type 1 diabetes mellitus (E10) |
| E10.3391 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye | Type 1 diabetes mellitus (E10) |
| E10.3392 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye | Type 1 diabetes mellitus (E10) |
| E10.3393 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral | Type 1 diabetes mellitus (E10) |
| E10.3399 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye | Type 1 diabetes mellitus (E10) |
| E10.3411 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye | Type 1 diabetes mellitus (E10) |
| E10.3412 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye | Type 1 diabetes mellitus (E10) |
| E10.3413 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral | Type 1 diabetes mellitus (E10) |
| E10.3419 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye | Type 1 diabetes mellitus (E10) |
| E10.3491 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye | Type 1 diabetes mellitus (E10) |
| E10.3492 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye | Type 1 diabetes mellitus (E10) |
| E10.3493 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral | Type 1 diabetes mellitus (E10) |
| E10.3499 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye | Type 1 diabetes mellitus (E10) |
| E10.3511 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye | Type 1 diabetes mellitus (E10) |
| E10.3512 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye | Type 1 diabetes mellitus (E10) |
| E10.3513 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral | Type 1 diabetes mellitus (E10) |
| E10.3519 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye | Type 1 diabetes mellitus (E10) |
| E10.3521 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye | Type 1 diabetes mellitus (E10) |
| E10.3522 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye | Type 1 diabetes mellitus (E10) |
| E10.3523 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral | Type 1 diabetes mellitus (E10) |
| E10.3529 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye | Type 1 diabetes mellitus (E10) |
| E10.3531 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye | Type 1 diabetes mellitus (E10) |
| E10.3532 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye | Type 1 diabetes mellitus (E10) |
| E10.3533 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral | Type 1 diabetes mellitus (E10) |
| E10.3539 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye | Type 1 diabetes mellitus (E10) |
| E10.3541 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye | Type 1 diabetes mellitus (E10) |
| E10.3542 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye | Type 1 diabetes mellitus (E10) |
| E10.3543 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral | Type 1 diabetes mellitus (E10) |
| E10.3549 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye | Type 1 diabetes mellitus (E10) |
| E10.3551 | Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, right eye | Type 1 diabetes mellitus (E10) |
| E10.3552 | Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, left eye | Type 1 diabetes mellitus (E10) |
| E10.3553 | Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral | Type 1 diabetes mellitus (E10) |
| E10.3559 | Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye | Type 1 diabetes mellitus (E10) |
| E10.3591 | Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye | Type 1 diabetes mellitus (E10) |
| E10.3592 | Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye | Type 1 diabetes mellitus (E10) |
| E10.3593 | Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral | Type 1 diabetes mellitus (E10) |
| E10.3599 | Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | Type 1 diabetes mellitus (E10) |
| E10.36 | Type 1 diabetes mellitus with diabetic cataract | Type 1 diabetes mellitus (E10) |
| E10.37X1 | Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye | Type 1 diabetes mellitus (E10) |
| E10.37X2 | Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye | Type 1 diabetes mellitus (E10) |
| E10.37X3 | Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral | Type 1 diabetes mellitus (E10) |
| E10.37X9 | Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye | Type 1 diabetes mellitus (E10) |
| E10.39 | Type 1 diabetes mellitus with other diabetic ophthalmic complication | Type 1 diabetes mellitus (E10) |
| E10.40 | Type 1 diabetes mellitus with diabetic neuropathy, unspecified | Type 1 diabetes mellitus (E10) |
| E10.41 | Type 1 diabetes mellitus with diabetic mononeuropathy | Type 1 diabetes mellitus (E10) |
| E10.42 | Type 1 diabetes mellitus with diabetic polyneuropathy | Type 1 diabetes mellitus (E10) |
| E10.43 | Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy | Type 1 diabetes mellitus (E10) |
| E10.44 | Type 1 diabetes mellitus with diabetic amyotrophy | Type 1 diabetes mellitus (E10) |
| E10.49 | Type 1 diabetes mellitus with other diabetic neurological complication | Type 1 diabetes mellitus (E10) |
| E10.51 | Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene | Type 1 diabetes mellitus (E10) |
| E10.52 | Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene | Type 1 diabetes mellitus (E10) |
| E10.59 | Type 1 diabetes mellitus with other circulatory complications | Type 1 diabetes mellitus (E10) |
| E10.610 | Type 1 diabetes mellitus with diabetic neuropathic arthropathy | Type 1 diabetes mellitus (E10) |
| E10.618 | Type 1 diabetes mellitus with other diabetic arthropathy | Type 1 diabetes mellitus (E10) |
| E10.620 | Type 1 diabetes mellitus with diabetic dermatitis | Type 1 diabetes mellitus (E10) |
| E10.621 | Type 1 diabetes mellitus with foot ulcer | Type 1 diabetes mellitus (E10) |
| E10.622 | Type 1 diabetes mellitus with other skin ulcer | Type 1 diabetes mellitus (E10) |
| E10.628 | Type 1 diabetes mellitus with other skin complications | Type 1 diabetes mellitus (E10) |
| E10.630 | Type 1 diabetes mellitus with periodontal disease | Type 1 diabetes mellitus (E10) |
| E10.638 | Type 1 diabetes mellitus with other oral complications | Type 1 diabetes mellitus (E10) |
| E10.641 | Type 1 diabetes mellitus with hypoglycemia with coma | Type 1 diabetes mellitus (E10) |
| E10.649 | Type 1 diabetes mellitus with hypoglycemia without coma | Type 1 diabetes mellitus (E10) |
| E10.65 | Type 1 diabetes mellitus with hyperglycemia | Type 1 diabetes mellitus (E10) |
| E10.69 | Type 1 diabetes mellitus with other specified complication | Type 1 diabetes mellitus (E10) |
| E10.8 | Type 1 diabetes mellitus with unspecified complications | Type 1 diabetes mellitus (E10) |
| E10.9 | Type 1 diabetes mellitus without complications | Type 1 diabetes mellitus (E10) |
| E11.00 | Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | Type 2 diabetes mellitus (E11) |
| E11.01 | Type 2 diabetes mellitus with hyperosmolarity with coma | Type 2 diabetes mellitus (E11) |
| E11.21 | Type 2 diabetes mellitus with diabetic nephropathy | Type 2 diabetes mellitus (E11) |
| E11.22 | Type 2 diabetes mellitus with diabetic chronic kidney disease | Type 2 diabetes mellitus (E11) |
| E11.29 | Type 2 diabetes mellitus with other diabetic kidney complication | Type 2 diabetes mellitus (E11) |
| E11.311 | Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema | Type 2 diabetes mellitus (E11) |
| E11.319 | Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema | Type 2 diabetes mellitus (E11) |
| E11.3211 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye | Type 2 diabetes mellitus (E11) |
| E11.3212 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye | Type 2 diabetes mellitus (E11) |
| E11.3213 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral | Type 2 diabetes mellitus (E11) |
| E11.3219 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye | Type 2 diabetes mellitus (E11) |
| E11.3291 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye | Type 2 diabetes mellitus (E11) |
| E11.3292 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye | Type 2 diabetes mellitus (E11) |
| E11.3293 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral | Type 2 diabetes mellitus (E11) |
| E11.3299 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye | Type 2 diabetes mellitus (E11) |
| E11.3311 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye | Type 2 diabetes mellitus (E11) |
| E11.3312 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye | Type 2 diabetes mellitus (E11) |
| E11.3313 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral | Type 2 diabetes mellitus (E11) |
| E11.3319 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye | Type 2 diabetes mellitus (E11) |
| E11.3391 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye | Type 2 diabetes mellitus (E11) |
| E11.3392 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye | Type 2 diabetes mellitus (E11) |
| E11.3393 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral | Type 2 diabetes mellitus (E11) |
| E11.3399 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye | Type 2 diabetes mellitus (E11) |
| E11.3411 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye | Type 2 diabetes mellitus (E11) |
| E11.3412 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye | Type 2 diabetes mellitus (E11) |
| E11.3413 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral | Type 2 diabetes mellitus (E11) |
| E11.3419 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye | Type 2 diabetes mellitus (E11) |
| E11.3491 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye | Type 2 diabetes mellitus (E11) |
| E11.3492 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye | Type 2 diabetes mellitus (E11) |
| E11.3493 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral | Type 2 diabetes mellitus (E11) |
| E11.3499 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye | Type 2 diabetes mellitus (E11) |
| E11.3511 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye | Type 2 diabetes mellitus (E11) |
| E11.3512 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye | Type 2 diabetes mellitus (E11) |
| E11.3513 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral | Type 2 diabetes mellitus (E11) |
| E11.3519 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye | Type 2 diabetes mellitus (E11) |
| E11.3521 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye | Type 2 diabetes mellitus (E11) |
| E11.3522 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye | Type 2 diabetes mellitus (E11) |
| E11.3523 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral | Type 2 diabetes mellitus (E11) |
| E11.3529 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye | Type 2 diabetes mellitus (E11) |
| E11.3531 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye | Type 2 diabetes mellitus (E11) |
| E11.3532 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye | Type 2 diabetes mellitus (E11) |
| E11.3533 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral | Type 2 diabetes mellitus (E11) |
| E11.3539 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye | Type 2 diabetes mellitus (E11) |
| E11.3541 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye | Type 2 diabetes mellitus (E11) |
| E11.3542 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye | Type 2 diabetes mellitus (E11) |
| E11.3543 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral | Type 2 diabetes mellitus (E11) |
| E11.3549 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye | Type 2 diabetes mellitus (E11) |
| E11.3551 | Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye | Type 2 diabetes mellitus (E11) |
| E11.3552 | Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye | Type 2 diabetes mellitus (E11) |
| E11.3553 | Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral | Type 2 diabetes mellitus (E11) |
| E11.3559 | Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye | Type 2 diabetes mellitus (E11) |
| E11.3591 | Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye | Type 2 diabetes mellitus (E11) |
| E11.3592 | Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye | Type 2 diabetes mellitus (E11) |
| E11.3593 | Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral | Type 2 diabetes mellitus (E11) |
| E11.3599 | Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | Type 2 diabetes mellitus (E11) |
| E11.36 | Type 2 diabetes mellitus with diabetic cataract | Type 2 diabetes mellitus (E11) |
| E11.37X1 | Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye | Type 2 diabetes mellitus (E11) |
| E11.37X2 | Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye | Type 2 diabetes mellitus (E11) |
| E11.37X3 | Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral | Type 2 diabetes mellitus (E11) |
| E11.37X9 | Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye | Type 2 diabetes mellitus (E11) |
| E11.39 | Type 2 diabetes mellitus with other diabetic ophthalmic complication | Type 2 diabetes mellitus (E11) |
| E11.40 | Type 2 diabetes mellitus with diabetic neuropathy, unspecified | Type 2 diabetes mellitus (E11) |
| E11.41 | Type 2 diabetes mellitus with diabetic mononeuropathy | Type 2 diabetes mellitus (E11) |
| E11.42 | Type 2 diabetes mellitus with diabetic polyneuropathy | Type 2 diabetes mellitus (E11) |
| E11.43 | Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy | Type 2 diabetes mellitus (E11) |
| E11.44 | Type 2 diabetes mellitus with diabetic amyotrophy | Type 2 diabetes mellitus (E11) |
| E11.49 | Type 2 diabetes mellitus with other diabetic neurological complication | Type 2 diabetes mellitus (E11) |
| E11.51 | Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | Type 2 diabetes mellitus (E11) |
| E11.52 | Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene | Type 2 diabetes mellitus (E11) |
| E11.59 | Type 2 diabetes mellitus with other circulatory complications | Type 2 diabetes mellitus (E11) |
| E11.610 | Type 2 diabetes mellitus with diabetic neuropathic arthropathy | Type 2 diabetes mellitus (E11) |
| E11.618 | Type 2 diabetes mellitus with other diabetic arthropathy | Type 2 diabetes mellitus (E11) |
| E11.620 | Type 2 diabetes mellitus with diabetic dermatitis | Type 2 diabetes mellitus (E11) |
| E11.621 | Type 2 diabetes mellitus with foot ulcer | Type 2 diabetes mellitus (E11) |
| E11.622 | Type 2 diabetes mellitus with other skin ulcer | Type 2 diabetes mellitus (E11) |
| E11.628 | Type 2 diabetes mellitus with other skin complications | Type 2 diabetes mellitus (E11) |
| E11.630 | Type 2 diabetes mellitus with periodontal disease | Type 2 diabetes mellitus (E11) |
| E11.638 | Type 2 diabetes mellitus with other oral complications | Type 2 diabetes mellitus (E11) |
| E11.641 | Type 2 diabetes mellitus with hypoglycemia with coma | Type 2 diabetes mellitus (E11) |
| E11.649 | Type 2 diabetes mellitus with hypoglycemia without coma | Type 2 diabetes mellitus (E11) |
| E11.65 | Type 2 diabetes mellitus with hyperglycemia | Type 2 diabetes mellitus (E11) |
| E11.69 | Type 2 diabetes mellitus with other specified complication | Type 2 diabetes mellitus (E11) |
| E11.8 | Type 2 diabetes mellitus with unspecified complications | Type 2 diabetes mellitus (E11) |
| E11.9 | Type 2 diabetes mellitus without complications | Type 2 diabetes mellitus (E11) |
| E13.00 | Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | Other specified diabetes mellitus (E13) |
| E13.01 | Other specified diabetes mellitus with hyperosmolarity with coma | Other specified diabetes mellitus (E13) |
| E13.10 | Other specified diabetes mellitus with ketoacidosis without coma | Other specified diabetes mellitus (E13) |
| E13.11 | Other specified diabetes mellitus with ketoacidosis with coma | Other specified diabetes mellitus (E13) |
| E13.21 | Other specified diabetes mellitus with diabetic nephropathy | Other specified diabetes mellitus (E13) |
| E13.22 | Other specified diabetes mellitus with diabetic chronic kidney disease | Other specified diabetes mellitus (E13) |
| E13.29 | Other specified diabetes mellitus with other diabetic kidney complication | Other specified diabetes mellitus (E13) |
| E13.311 | Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema | Other specified diabetes mellitus (E13) |
| E13.319 | Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema | Other specified diabetes mellitus (E13) |
| E13.3211 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye | Other specified diabetes mellitus (E13) |
| E13.3212 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye | Other specified diabetes mellitus (E13) |
| E13.3213 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral | Other specified diabetes mellitus (E13) |
| E13.3219 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye | Other specified diabetes mellitus (E13) |
| E13.3291 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye | Other specified diabetes mellitus (E13) |
| E13.3292 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye | Other specified diabetes mellitus (E13) |
| E13.3293 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral | Other specified diabetes mellitus (E13) |
| E13.3299 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye | Other specified diabetes mellitus (E13) |
| E13.3311 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye | Other specified diabetes mellitus (E13) |
| E13.3312 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye | Other specified diabetes mellitus (E13) |
| E13.3313 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral | Other specified diabetes mellitus (E13) |
| E13.3319 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye | Other specified diabetes mellitus (E13) |
| E13.3391 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye | Other specified diabetes mellitus (E13) |
| E13.3392 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye | Other specified diabetes mellitus (E13) |
| E13.3393 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral | Other specified diabetes mellitus (E13) |
| E13.3399 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye | Other specified diabetes mellitus (E13) |
| E13.3411 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye | Other specified diabetes mellitus (E13) |
| E13.3412 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye | Other specified diabetes mellitus (E13) |
| E13.3413 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral | Other specified diabetes mellitus (E13) |
| E13.3419 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye | Other specified diabetes mellitus (E13) |
| E13.3491 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye | Other specified diabetes mellitus (E13) |
| E13.3492 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye | Other specified diabetes mellitus (E13) |
| E13.3493 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral | Other specified diabetes mellitus (E13) |
| E13.3499 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye | Other specified diabetes mellitus (E13) |
| E13.3511 | Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye | Other specified diabetes mellitus (E13) |
| E13.3512 | Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye | Other specified diabetes mellitus (E13) |
| E13.3513 | Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral | Other specified diabetes mellitus (E13) |
| E13.3519 | Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye | Other specified diabetes mellitus (E13) |
| E13.3521 | Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye | Other specified diabetes mellitus (E13) |
| E13.3522 | Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye | Other specified diabetes mellitus (E13) |
| E13.3523 | Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral | Other specified diabetes mellitus (E13) |
| E13.3529 | Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye | Other specified diabetes mellitus (E13) |
| E13.3531 | Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye | Other specified diabetes mellitus (E13) |
| E13.3532 | Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye | Other specified diabetes mellitus (E13) |
| E13.3533 | Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral | Other specified diabetes mellitus (E13) |
| E13.3539 | Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye | Other specified diabetes mellitus (E13) |
| E13.3541 | Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye | Other specified diabetes mellitus (E13) |
| E13.3542 | Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye | Other specified diabetes mellitus (E13) |
| E13.3543 | Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral | Other specified diabetes mellitus (E13) |
| E13.3549 | Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye | Other specified diabetes mellitus (E13) |
| E13.3551 | Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eye | Other specified diabetes mellitus (E13) |
| E13.3552 | Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eye | Other specified diabetes mellitus (E13) |
| E13.3553 | Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateral | Other specified diabetes mellitus (E13) |
| E13.3559 | Other specified diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye | Other specified diabetes mellitus (E13) |
| E13.3591 | Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye | Other specified diabetes mellitus (E13) |
| E13.3592 | Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye | Other specified diabetes mellitus (E13) |
| E13.3593 | Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral | Other specified diabetes mellitus (E13) |
| E13.3599 | Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | Other specified diabetes mellitus (E13) |
| E13.36 | Other specified diabetes mellitus with diabetic cataract | Other specified diabetes mellitus (E13) |
| E13.37X1 | Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, right eye | Other specified diabetes mellitus (E13) |
| E13.37X2 | Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, left eye | Other specified diabetes mellitus (E13) |
| E13.37X3 | Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral | Other specified diabetes mellitus (E13) |
| E13.37X9 | Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye | Other specified diabetes mellitus (E13) |
| E13.39 | Other specified diabetes mellitus with other diabetic ophthalmic complication | Other specified diabetes mellitus (E13) |
| E13.40 | Other specified diabetes mellitus with diabetic neuropathy, unspecified | Other specified diabetes mellitus (E13) |
| E13.41 | Other specified diabetes mellitus with diabetic mononeuropathy | Other specified diabetes mellitus (E13) |
| E13.42 | Other specified diabetes mellitus with diabetic polyneuropathy | Other specified diabetes mellitus (E13) |
| E13.43 | Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy | Other specified diabetes mellitus (E13) |
| E13.44 | Other specified diabetes mellitus with diabetic amyotrophy | Other specified diabetes mellitus (E13) |
| E13.49 | Other specified diabetes mellitus with other diabetic neurological complication | Other specified diabetes mellitus (E13) |
| E13.51 | Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | Other specified diabetes mellitus (E13) |
| E13.52 | Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | Other specified diabetes mellitus (E13) |
| E13.59 | Other specified diabetes mellitus with other circulatory complications | Other specified diabetes mellitus (E13) |
| E13.610 | Other specified diabetes mellitus with diabetic neuropathic arthropathy | Other specified diabetes mellitus (E13) |
| E13.618 | Other specified diabetes mellitus with other diabetic arthropathy | Other specified diabetes mellitus (E13) |
| E13.620 | Other specified diabetes mellitus with diabetic dermatitis | Other specified diabetes mellitus (E13) |
| E13.621 | Other specified diabetes mellitus with foot ulcer | Other specified diabetes mellitus (E13) |
| E13.622 | Other specified diabetes mellitus with other skin ulcer | Other specified diabetes mellitus (E13) |
| E13.628 | Other specified diabetes mellitus with other skin complications | Other specified diabetes mellitus (E13) |
| E13.630 | Other specified diabetes mellitus with periodontal disease | Other specified diabetes mellitus (E13) |
| E13.638 | Other specified diabetes mellitus with other oral complications | Other specified diabetes mellitus (E13) |
| E13.641 | Other specified diabetes mellitus with hypoglycemia with coma | Other specified diabetes mellitus (E13) |
| E13.649 | Other specified diabetes mellitus with hypoglycemia without coma | Other specified diabetes mellitus (E13) |
| E13.65 | Other specified diabetes mellitus with hyperglycemia | Other specified diabetes mellitus (E13) |
| E13.69 | Other specified diabetes mellitus with other specified complication | Other specified diabetes mellitus (E13) |
| E13.8 | Other specified diabetes mellitus with unspecified complications | Other specified diabetes mellitus (E13) |
| E13.9 | Other specified diabetes mellitus without complications | Other specified diabetes mellitus (E13) |
| O24.011 | Pre-existing type 1 diabetes mellitus, in pregnancy, first trimester | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.012 | Pre-existing type 1 diabetes mellitus, in pregnancy, second trimester | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.013 | Pre-existing type 1 diabetes mellitus, in pregnancy, third trimester | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.019 | Pre-existing type 1 diabetes mellitus, in pregnancy, unspecified trimester | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.02 | Pre-existing type 1 diabetes mellitus, in childbirth | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.03 | Pre-existing type 1 diabetes mellitus, in the puerperium | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.111 | Pre-existing type 2 diabetes mellitus, in pregnancy, first trimester | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.112 | Pre-existing type 2 diabetes mellitus, in pregnancy, second trimester | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.113 | Pre-existing type 2 diabetes mellitus, in pregnancy, third trimester | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.119 | Pre-existing type 2 diabetes mellitus, in pregnancy, unspecified trimester | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.12 | Pre-existing type 2 diabetes mellitus, in childbirth | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.13 | Pre-existing type 2 diabetes mellitus, in the puerperium | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.311 | Unspecified pre-existing diabetes mellitus in pregnancy, first trimester | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.312 | Unspecified pre-existing diabetes mellitus in pregnancy, second trimester | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.313 | Unspecified pre-existing diabetes mellitus in pregnancy, third trimester | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.319 | Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimester | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.32 | Unspecified pre-existing diabetes mellitus in childbirth | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.33 | Unspecified pre-existing diabetes mellitus in the puerperium | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.811 | Other pre-existing diabetes mellitus in pregnancy, first trimester | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.812 | Other pre-existing diabetes mellitus in pregnancy, second trimester | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.813 | Other pre-existing diabetes mellitus in pregnancy, third trimester | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.819 | Other pre-existing diabetes mellitus in pregnancy, unspecified trimester | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.82 | Other pre-existing diabetes mellitus in childbirth | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
| O24.83 | Other pre-existing diabetes mellitus in the puerperium | Diabetes mellitus in pregnancy, childbirth, and the puerperium (O24) |
Related References
Source: Centers for Medicare & Medicaid Services, Quality Payment Program measure specifications, with linked codes validated against the official FY 2026 ICD-10-CM code set.
