Type 1 diabetes mellitus
In Diabetes mellitus (E08-E13), chapter 4: Endocrine, Nutritional and Metabolic Diseases
87 billable codes under E10: 3 are an MCC, 1 is a CC; 84 map to HCC 37 (Diabetes with Chronic Complications), HCC 298 (Severe Diabetic Eye Disease, Retinal Vein Occlusion, and Vitreous Hemorrhage), HCC 38 (Diabetes with Glycemic, Unspecified, or No Complications) and 3 more HCCs.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Includes: conditions that are coded here
- brittle diabetes (mellitus)
- diabetes (mellitus) due to autoimmune process
- diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction
- idiopathic diabetes (mellitus)
- juvenile onset diabetes (mellitus)
- ketosis-prone diabetes (mellitus)
Excludes1: not coded here, use a different code
- diabetes mellitus due to underlying condition (E08.-)
- drug or chemical induced diabetes mellitus (E09.-)
- gestational diabetes (O24.4-)
- hyperglycemia NOS (R73.9)
- neonatal diabetes mellitus (P70.2)
- postpancreatectomy diabetes mellitus (E13.-)
- postprocedural diabetes mellitus (E13.-)
- secondary diabetes mellitus NEC (E13.-)
- type 2 diabetes mellitus (E11.-)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
- Section I.C.4.a Diabetes mellitus (page 39), covers E10
Assign as many codes from E08 to E13 as needed for all complications; default to E11.- when type is undocumented. Add Z79 codes for long-term insulin, oral, or injectable drugs, but not Z79.4 for temporary insulin.
Other Chapter 4 topics:
- Obesity (page 42)
All codes under E10
E10 can't be used on a claim. Pick a billable code below; grey headings group them.
- E10.1Type 1 diabetes mellitus with ketoacidosis
- E10.10Type 1 diabetes mellitus with ketoacidosis without coma
- E10.11Type 1 diabetes mellitus with ketoacidosis with coma
- E10.2Type 1 diabetes mellitus with kidney complications
- E10.21Type 1 diabetes mellitus with diabetic nephropathy
- E10.22Type 1 diabetes mellitus with diabetic chronic kidney disease
- E10.29Type 1 diabetes mellitus with other diabetic kidney complication
- E10.3Type 1 diabetes mellitus with ophthalmic complications
- E10.31Type 1 diabetes mellitus with unspecified diabetic retinopathy
- E10.311Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema
- E10.319Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema
- E10.32Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy
- E10.321Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema
- E10.3211Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
- E10.3212Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
- E10.3213Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
- E10.3219Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
- E10.329Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema
- E10.3291Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
- E10.3292Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
- E10.3293Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
- E10.3299Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
- E10.33Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy
- E10.331Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema
- E10.3311Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
- E10.3312Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
- E10.3313Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
- E10.3319Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
- E10.339Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema
- E10.3391Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
- E10.3392Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
- E10.3393Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
- E10.3399Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
- E10.34Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy
- E10.341Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema
- E10.3411Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
- E10.3412Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
- E10.3413Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
- E10.3419Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
- E10.349Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema
- E10.3491Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
- E10.3492Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
- E10.3493Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
- E10.3499Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
- E10.35Type 1 diabetes mellitus with proliferative diabetic retinopathy
- E10.351Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema
- E10.3511Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
- E10.3512Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
- E10.3513Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
- E10.3519Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
- E10.352Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula
- E10.3521Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
- E10.3522Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
- E10.3523Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
- E10.3529Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
- E10.353Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula
- E10.3531Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
- E10.3532Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
- E10.3533Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
- E10.3539Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
- E10.354Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment
- E10.3541Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
- E10.3542Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
- E10.3543Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
- E10.3549Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
- E10.355Type 1 diabetes mellitus with stable proliferative diabetic retinopathy
- E10.3551Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, right eye
- E10.3552Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, left eye
- E10.3553Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
- E10.3559Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
- E10.359Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema
- E10.3591Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
- E10.3592Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
- E10.3593Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
- E10.3599Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
- E10.36Type 1 diabetes mellitus with diabetic cataract
- E10.37Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment
- E10.37X1Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
- E10.37X2Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye
- E10.37X3Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
- E10.37X9Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
- E10.39Type 1 diabetes mellitus with other diabetic ophthalmic complication
- E10.4Type 1 diabetes mellitus with neurological complications
- E10.40Type 1 diabetes mellitus with diabetic neuropathy, unspecified
- E10.41Type 1 diabetes mellitus with diabetic mononeuropathy
- E10.42Type 1 diabetes mellitus with diabetic polyneuropathy
- E10.43Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy
- E10.44Type 1 diabetes mellitus with diabetic amyotrophy
- E10.49Type 1 diabetes mellitus with other diabetic neurological complication
- E10.5Type 1 diabetes mellitus with circulatory complications
- E10.51Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene
- E10.52Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene
- E10.59Type 1 diabetes mellitus with other circulatory complications
- E10.6Type 1 diabetes mellitus with other specified complications
- E10.61Type 1 diabetes mellitus with diabetic arthropathy
- E10.610Type 1 diabetes mellitus with diabetic neuropathic arthropathy
- E10.618Type 1 diabetes mellitus with other diabetic arthropathy
- E10.62Type 1 diabetes mellitus with skin complications
- E10.620Type 1 diabetes mellitus with diabetic dermatitis
- E10.621Type 1 diabetes mellitus with foot ulcer
- E10.622Type 1 diabetes mellitus with other skin ulcer
- E10.628Type 1 diabetes mellitus with other skin complications
- E10.63Type 1 diabetes mellitus with oral complications
- E10.630Type 1 diabetes mellitus with periodontal disease
- E10.638Type 1 diabetes mellitus with other oral complications
- E10.64Type 1 diabetes mellitus with hypoglycemia
- E10.641Type 1 diabetes mellitus with hypoglycemia with coma
- E10.649Type 1 diabetes mellitus with hypoglycemia without coma
- E10.65Type 1 diabetes mellitus with hyperglycemia
- E10.69Type 1 diabetes mellitus with other specified complication
- E10.8Type 1 diabetes mellitus with unspecified complications
- E10.9Type 1 diabetes mellitus without complications
- E10.AType 1 diabetes mellitus, presymptomatic
- E10.A0Type 1 diabetes mellitus, presymptomatic, unspecified
- E10.A1Type 1 diabetes mellitus, presymptomatic, Stage 1
- E10.A2Type 1 diabetes mellitus, presymptomatic, Stage 2
E10 MS-DRGs
As the principal diagnosis, the billable codes under E10 group to these 16 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 073 Cranial and Peripheral Nerve Disorders with MCC (1 of 87 codes)
- DRG 074 Cranial and Peripheral Nerve Disorders without MCC (1 of 87 codes)
- DRG 124 Other Disorders of the Eye with MCC or Thrombolytic Agent (1 of 87 codes)
- DRG 125 Other Disorders of the Eye without MCC (1 of 87 codes)
- DRG 299 Peripheral Vascular Disorders with MCC (1 of 87 codes)
- DRG 300 Peripheral Vascular Disorders with CC (1 of 87 codes)
- DRG 301 Peripheral Vascular Disorders without CC/MCC (1 of 87 codes)
- DRG 637 Diabetes with MCC (1 of 87 codes)
- DRG 638 Diabetes with CC (1 of 87 codes)
- DRG 639 Diabetes without CC/MCC (1 of 87 codes)
- DRG 673 Other Kidney and Urinary Tract Procedures with MCC (1 of 87 codes)
- DRG 674 Other Kidney and Urinary Tract Procedures with CC (1 of 87 codes)
- DRG 675 Other Kidney and Urinary Tract Procedures without CC/MCC (1 of 87 codes)
- DRG 698 Other Kidney and Urinary Tract Diagnoses with MCC (1 of 87 codes)
- DRG 699 Other Kidney and Urinary Tract Diagnoses with CC (1 of 87 codes)
- DRG 700 Other Kidney and Urinary Tract Diagnoses without CC/MCC (1 of 87 codes)
Other codes that refer to E10
Notes on these codes point to E10.
- E08 Excludes1: type 1 diabetes mellitus (E10.-)
- E09 Excludes1: type 1 diabetes mellitus (E10.-)
- E11 Excludes1: type 1 diabetes mellitus (E10.-)
- E13 Excludes1: diabetes (mellitus) due to autoimmune process (E10.-)
- E13 Excludes1: diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction (E10.-)
- E13 Excludes1: type 1 diabetes mellitus (E10.-)
- E87.2 Excludes1: diabetic acidosis - see categories E08-E10, E11, E13 with ketoacidosis
- O24.0 Use Additional Code: code from category E10 to further identify any manifestations
- Q45.3 Excludes1: congenital diabetes mellitus (E10.-)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Diabetes Type 1
Diabetes means your blood glucose, also called blood sugar, is too high. With type 1 diabetes, your body makes little or no insulin. Insulin is a hormone from your pancreas that helps glucose move from your body into your cells, where it is used for energy. Your body can make glucose, but it also comes from the food you eat. Without insulin, too much glucose stays in your blood.
Read more about diabetes type 1 on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
