The E11.65 diagnosis code is a critical component of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) system. Specifically, it designates Type 2 diabetes mellitus with hyperglycemia. This code is used by healthcare professionals and medical coders to classify and document cases where a patient has type 2 diabetes and is experiencing hyperglycemia, a condition characterized by excessively high blood sugar levels.
Within the landscape of diabetes diagnosis codes, E11.65 is both billable and specific. This means it is an acceptable code for medical billing and accurately pinpoints a distinct clinical scenario. The code officially came into effect on October 1, 2015, with the broader ICD-10-CM system, and the current version, valid for 2025, became effective on October 1, 2024. It is important to note that while this is the US version, international versions of ICD-10 might have variations for this code.
Hyperglycemia, the core condition identified by E11.65 in the context of type 2 diabetes, occurs when the body doesn’t produce enough insulin or doesn’t effectively use the insulin it produces. Insulin is crucial for regulating blood glucose levels. When uncontrolled, hyperglycemia can lead to a range of health complications over time, affecting various organs and systems. Therefore, accurately diagnosing and coding uncontrolled diabetes, reflected in conditions like hyperglycemia, is vital for patient care, medical research, and healthcare management.
Synonyms commonly associated with E11.65 include “Diabetes type 2 with hyperglycemia” and “Hyperglycemia due to type 2 diabetes mellitus”. These terms all essentially describe the same medical condition captured by the E11.65 code.
Understanding the E11.65 diagnosis code is crucial for healthcare providers, coders, and anyone involved in medical billing and health information management. It ensures accurate representation of patient conditions, facilitating appropriate treatment, data analysis, and healthcare reimbursement processes related to Diagnosis Code Uncontrolled Diabetes scenarios in type 2 diabetes patients experiencing hyperglycemia.
