2025 ICD-10-CM code E11.9
(Active) Effective Date: N/A Type 2 Diabetes Mellitus - Diabetes Mellitus (E08-E13) Endocrine, Nutritional and Metabolic Diseases (E00-E89) Feed
Type 2 diabetes mellitus without complications.
Medical necessity for the management of type 2 diabetes is established by the diagnosis itself.The goal is to maintain glycemic control and prevent long-term complications through appropriate interventions and regular monitoring.
Diagnosis and management of type 2 diabetes without complications. This involves evaluating symptoms, conducting diagnostic tests like blood glucose and HbA1c measurements, and implementing treatment plans which may include lifestyle modifications, oral medications, or insulin therapy. Ongoing monitoring and patient education are crucial for preventing complications.
In simple words: This code indicates that the patient has type 2 diabetes, a condition where the body doesn't use sugar properly, but they haven't developed any health problems related to their diabetes yet.
Type 2 diabetes mellitus is a chronic metabolic disorder characterized by elevated blood glucose levels due to the body's inability to effectively use insulin.This code specifies that the diabetes is not currently associated with any documented complications.
Example 1: A 50-year-old patient presents with increased thirst, frequent urination, and fatigue. Blood tests reveal elevated fasting plasma glucose and HbA1c levels, confirming the diagnosis of type 2 diabetes.As no complications are present, E11.9 is used., A patient with a long-standing history of type 2 diabetes, managed with diet and exercise, attends a routine check-up.Their blood sugar is well-controlled, and they exhibit no signs of complications. E11.9 is applied., A patient newly diagnosed with type 2 diabetes begins treatment with metformin.After three months, their HbA1c levels have improved significantly, and no complications have developed. E11.9 is the appropriate code.
Documentation should include signs and symptoms, diagnostic test results (fasting plasma glucose, HbA1c, lipid panel, urine examination), and absence of any diabetic complications (neuropathy, nephropathy, retinopathy, cardiovascular disease).Details of the treatment plan, including lifestyle modifications, medications, and patient education, should also be documented.
- Payment Status: Active
- Specialties:Endocrinology, Internal Medicine, Family Medicine, Primary Care
- Place of Service:Office, Outpatient Hospital, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home