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E11.22

Type 2 diabetes mellitus with diabetic chronic kidney disease

Endocrine, nutritional and metabolic diseases Billable
Quick Reference
Type 2 diabetes with kidney damage evidenced by reduced GFR or albuminuria

Clinical Information

When to Use This Code

Type 2 diabetes with kidney damage evidenced by reduced GFR or albuminuria

Common Clinical Scenarios

  • Diabetes with elevated creatinine
  • Diabetic nephropathy
  • Type 2 DM with CKD stages 1-5
  • Diabetes with proteinuria

Documentation Requirements

  • Document eGFR value and CKD stage
  • Record albuminuria or proteinuria levels
  • Note ACE inhibitor or ARB therapy
  • Specify if nephrology involved in care

Coding Guidelines

Inclusion Terms

These terms are included in this code:

Diabetic nephropathyDiabetes with renal impairmentType 2 DM with kidney disease

Exclusion Terms

Do NOT use this code for:

  • Diabetes without kidney disease (E11.9)
  • CKD without diabetes (N18.-)
  • Acute kidney injury (N17.-)

Coding Notes

Use additional N18.- code to specify CKD stage
Assumes causal relationship between diabetes and CKD
Monitor for progression to dialysis

Related ICD-10 Codes

Consider these related codes based on patient presentation:

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Code Details

Code
E11.22
Category
Endocrine, nutritional and metabolic diseases
Billable Status
Billable

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