ICD-10 Coding for Type 2 Diabetes with Complications(E11.22, E11.621)
Complete ICD-10-CM coding and documentation guide for Type 2 Diabetes with Complications. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Type 2 Diabetes with Complications
E11.0-E11.9Primary Range
Type 2 diabetes mellitus
This range includes all codes for type 2 diabetes with various complications.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E11.22 | Type 2 diabetes mellitus with diabetic chronic kidney disease | Use when chronic kidney disease is documented as a complication of type 2 diabetes. |
|
| E11.621 | Type 2 diabetes mellitus with foot ulcer | Use when a foot ulcer is documented as a complication of type 2 diabetes. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for type 2 diabetes with complications
Essential facts and insights about Type 2 Diabetes with Complications
Primary ICD-10-CM Codes for type 2 diabetes with complications
Decision Criteria
documentation Criteria
- Document CKD stage and link to diabetes.
Applicable To
- Diabetic nephropathy
Excludes
- Type 1 diabetes mellitus with diabetic chronic kidney disease (E10.22)
Clinical Validation Requirements
- eGFR <60
- Urine albumin >300 mg/g
Code-Specific Risks
- Ensure CKD is linked to diabetes in documentation.
Coding Notes
- Always document the causal link between diabetes and CKD.
E11.621 - Type 2 diabetes mellitus with foot ulcer
Use when a foot ulcer is documented as a complication of type 2 diabetes.
Applicable To
- Diabetic foot ulcer
Excludes
- Foot ulcer due to other causes
Clinical Validation Requirements
- Presence of ulcer with documentation of diabetes as a cause
Coding Notes
Document the causal relationship between diabetes and the foot ulcer.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Chronic kidney disease stages
N18.1-N18.6Ulcer location and severity
L97.4-L97.5Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Type 2 diabetes mellitus with diabetic nephropathy
E11.21Non-pressure chronic ulcer of lower limb
L97.4-L97.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Type 2 Diabetes with Complications to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.22.
Impact
Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential loss of reimbursement.
Mitigation Strategy
Train staff on proper documentation practices., Use templates that prompt for causal links.
Impact
Reimbursement: May result in lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of patient records.
Mitigation Strategy
Use specific codes for each documented complication.
Impact
Failure to document causal links can lead to audit findings.
Mitigation Strategy
Implement regular documentation audits and training.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Type 2 Diabetes with Complications, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Type 2 Diabetes with Complications
Use these documentation templates to ensure complete and accurate documentation for Type 2 Diabetes with Complications. These templates include all required elements for proper coding and billing.
Endocrinology visit for diabetes management
Specialty: EndocrinologyRequired Elements
- Type of diabetes
- Specific complications
- Causal link to diabetes
- MEAT criteria
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Type 2 Diabetes with Complications? Ask your questions below.