E11.65
Type 2 diabetes mellitus with hyperglycemia
Endocrine, nutritional and metabolic diseases Billable
Quick Reference
Type 2 diabetes with documented inadequate glucose control or elevated blood sugar
Clinical Information
When to Use This Code
Type 2 diabetes with documented inadequate glucose control or elevated blood sugar
Common Clinical Scenarios
- HbA1c above target range (typically >7%)
- Fasting glucose consistently >130 mg/dL
- Random glucose readings showing poor control
- Medication adjustment visits for uncontrolled diabetes
Documentation Requirements
- Document specific glucose values or HbA1c levels
- Record 'hyperglycemia' or 'inadequately controlled'
- Note medication changes or intensification
- Document contributing factors (medication non-compliance, illness, diet)
Coding Guidelines
Inclusion Terms
These terms are included in this code:
Uncontrolled Type 2 diabetesInadequately controlled diabetesType 2 diabetes with high blood sugarPoorly controlled diabetes
Exclusion Terms
Do NOT use this code for:
- Diabetic ketoacidosis (E11.10, E11.11)
- Hypoglycemia (E11.64-)
- Well-controlled diabetes (E11.9)
Coding Notes
More specific than E11.9 when control is suboptimal
Cannot be used with hypoglycemia codes
Use additional codes for complications if present
Related ICD-10 Codes
Consider these related codes based on patient presentation:
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Code
E11.65
Category
Endocrine, nutritional and metabolic diseases
Billable Status
Billable
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