Diabetes Mellitus ICD 10: Complete Guide (Types, Coding, Documentation & FAQs)

Diabetes Mellitus (DM) is one of the most common chronic metabolic disorders worldwide. For healthcare providers, medical coders, and students, understanding the Diabetes Mellitus ICD 10 is essential for accurate diagnosis reporting, billing, and clinical documentation.

In this blog, we break down the ICD-10 codes for diabetes, explain the classification, list all important subcodes, and highlight key points for easy learning.


What is Diabetes Mellitus ICD 10?

Diabetes Mellitus ICD-10 refers to the range of ICD-10-CM codes (E08–E13) used to classify different types of diabetes, based on cause, complications, and comorbidities.

These codes help:

  • Document the diagnosis correctly
  • Ensure accurate billing
  • Track disease trends
  • Improve patient management

🧾 ICD-10 Codes for Diabetes Mellitus (Quick Overview)

Diabetes CategoryICD-10 Code Range
Diabetes due to underlying conditionE08
Drug- or chemical-induced diabetesE09
Type 1 Diabetes MellitusE10
Type 2 Diabetes MellitusE11
Other specified diabetesE13

ICD-10 Code Descriptions in Detail


🔷 1. E08 – Diabetes Mellitus Due to Underlying Condition

Used when diabetes occurs secondary to another disease, such as:

  • Cushing’s syndrome
  • Pancreatitis
  • Hemochromatosis

Common examples:

  • E08.21 – With diabetic nephropathy
  • E08.22 – With chronic kidney disease
  • E08.65 – With hyperglycemia

🔷 2. E09 – Drug or Chemical-Induced Diabetes Mellitus

Used when DM results from:

  • Steroids
  • Antipsychotics
  • Immunosuppressive agents
  • Environmental toxins

Examples:

  • E09.649 – With hypoglycemia
  • E09.65 – With hyperglycemia

🔷 3. E10 – Type 1 Diabetes Mellitus

An autoimmune condition with absolute insulin deficiency.

Important codes:

  • E10.9 – Type 1 diabetes without complications
  • E10.65 – With hyperglycemia
  • E10.641 – With hypoglycemia with coma
  • E10.21 – With nephropathy

🔷 4. E11 – Type 2 Diabetes Mellitus (Most Common Code)

Used for insulin-resistant diabetes (non-insulin dependent).

Common Type 2 DM ICD-10 Codes:

  • E11.9 – Type 2 diabetes without complications
  • E11.65 – With hyperglycemia (very commonly used)
  • E11.618 – With diabetic neuropathic arthropathy
  • E11.21 – With nephropathy
  • E11.42 – With polyneuropathy
  • E11.69 – With other specified complications

📌 Highlight:
E11.9 and E11.65 are among the most frequently used diabetes codes worldwide.


🔷 5. E13 – Other Specified Diabetes Mellitus

Used when diabetes does not fit into other categories, such as:

  • Genetic defects of beta-cell function
  • Post-pancreatectomy diabetes

Examples:

  • E13.9 – Without complications
  • E13.65 – With hyperglycemia

Important Points to Remember (Highlighted)

🔥 Key Highlights

  • Diabetes Mellitus ICD-10 codes fall under E08–E13.
  • E11 (Type 2 DM) is the most commonly used code.
  • Codes must include complications (neuropathy, nephropathy, retinopathy, hyperglycemia, hypoglycemia).
  • Avoid using unspecified codes unless absolutely necessary.
  • Always document:
    ✔ Type of diabetes
    ✔ Complications
    ✔ Control status (hyperglycemia/hypoglycemia)
    ✔ Relationship to underlying disease or drugs

🩺 Clinical Documentation Tips

To code diabetes accurately, documentation should include:

✔ Diabetes Type

(Type 1, Type 2, secondary, drug-induced)

✔ Blood glucose control

  • Hyperglycemia
  • Hypoglycemia
  • No complication

✔ Specific complications

  • Kidney: nephropathy, CKD
  • Eye: retinopathy
  • Nerve: neuropathy
  • Circulation: PVD
  • Skin ulcers
  • Ketoacidosis

✔ Related conditions

  • Hypertension
  • Dyslipidemia
  • Obesity

🧠 Common ICD-10 Codes for Quick Reference

  • E11.9 – T2DM without complications
  • E11.65 – T2DM with hyperglycemia
  • E10.9 – T1DM without complications
  • E08.22 – Diabetes with CKD
  • E11.42 – T2DM with polyneuropathy

❓ FAQs on Diabetes Mellitus ICD 10

1. What is the ICD-10 code for uncontrolled diabetes?

There is no “uncontrolled” term. Use:

  • E11.65 for uncontrolled Type 2 (hyperglycemia)
  • E10.65 for uncontrolled Type 1

2. What ICD-10 code is used for diabetes without complications?

  • E11.9 – Type 2
  • E10.9 – Type 1

3. What is the ICD-10 for diabetic neuropathy?

  • E11.40 – Unspecified neuropathy
  • E11.42 – Polyneuropathy (most common)

4. What is the ICD-10 code for diabetes with CKD?

  • E11.22 – Type 2 DM with CKD
    (Use additional code for CKD stage: N18.x)

5. Can Type 2 diabetes convert to Type 1 ICD-10?

No. The diagnosis depends on pathology, not insulin use.
Type 2 diabetics on insulin still use E11.x, not E10.


6. What is the ICD-10 code for gestational diabetes?

Gestational diabetes is NOT under E08–E13.
Use O24.4x range.


📌 Conclusion

Understanding the ICD-10 codes for Diabetes Mellitus is essential for healthcare professionals, medical coders, and students. Proper documentation and accurate coding help ensure correct billing, better patient management, and improved clinical outcomes.

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