Find information on Type 2 diabetes without complications, including ICD-10 code E11.9, diagnosis criteria, clinical documentation tips, and healthcare provider resources. Learn about managing uncomplicated diabetes, blood glucose monitoring, and lifestyle modifications. Explore relevant medical coding guidelines and best practices for accurate reporting of Type 2 diabetes without complications in medical records.
Also known as
Type 2 diabetes mellitus
Covers type 2 diabetes without complications.
Type 2 diabetes mellitus without complications
Specifies type 2 diabetes with no documented complications.
Long term current drug therapy
May be used if patient is on medication for diabetes.
Diabetes mellitus
Encompasses all forms of diabetes mellitus.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the diabetes Type 2?
Yes
Any documented complications?
No
Is it Type 1?
When to use each related code
Description |
---|
Type 2 diabetes without complications |
Prediabetes |
Gestational diabetes |
Using unspecified codes (E11.9) when documentation supports a more specific type 2 diabetes code with no complications (E11.65).
Incorrectly coding conditions like prediabetes or gestational diabetes as type 2 diabetes without complications.
Lack of clear documentation supporting the diagnosis of type 2 diabetes without complications, leading to coding errors and potential denials.
Patient presents with a diagnosis of Type 2 Diabetes Mellitus without complications. The patient's current presentation aligns with established diagnostic criteria for Type 2 diabetes, including elevated HbA1c levels (most recent result [insert value] recorded on [date]) and consistent hyperglycemia. Symptoms reported include polyuria, polydipsia, and occasional blurred vision. No evidence of diabetic complications such as neuropathy, nephropathy, retinopathy, or cardiovascular disease was observed during this encounter. Patient denies any history of diabetic ketoacidosis. Family history is positive for Type 2 diabetes. Current medications include [list current medications]. Dietary counseling regarding carbohydrate management and portion control was provided. The patient was encouraged to increase physical activity levels with a goal of at least 150 minutes of moderate-intensity aerobic exercise per week. Emphasis was placed on blood glucose monitoring and medication adherence. The patient demonstrates understanding of self-management strategies and verbalizes commitment to lifestyle modifications. Follow-up appointment scheduled in three months for HbA1c recheck and assessment of diabetes management progress. Plan includes ongoing diabetes education and medication management as indicated by future lab results and clinical presentation. ICD-10 code E11.9, Type 2 diabetes mellitus without complications, is assigned.