E11

Non-Billable
ChapterE00–E89
Rankcategory
Official Description

Type 2 diabetes mellitus

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E89).

CH4 Parent Instructions

Excludes1(Not coded here. Use a different code.)
  • transitory endocrine and metabolic disorders specific to newborn (P70-P74)

Instructional Notes

Includes
  • diabetes (mellitus) due to insulin secretory defect
  • diabetes NOS
  • insulin resistant 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-)
  • neonatal diabetes mellitus (P70.2)
  • postpancreatectomy diabetes mellitus (E13.-)
  • postprocedural diabetes mellitus (E13.-)
  • secondary diabetes mellitus NEC (E13.-)
  • type 1 diabetes mellitus (E10.-)
Use Additional Code
  • code to identify control using:
  • injectable non-insulin antidiabetic drugs (Z79.85)
  • insulin (Z79.4)
  • oral antidiabetic drugs (Z79.84)
  • oral hypoglycemic drugs (Z79.84)

Clinical Hierarchy

BillableHas subcodes
CH4Endocrine, nutritional and metabolic diseases (E00-E89)
E08-E13Diabetes mellitus (E08-E13)
E11Type 2 diabetes mellitusNot billable
E11.0Type 2 diabetes mellitus with hyperosmolaritySubcodes
E11.1Type 2 diabetes mellitus with ketoacidosisSubcodes
E11.2Type 2 diabetes mellitus with kidney complicationsSubcodes
E11.3Type 2 diabetes mellitus with ophthalmic complicationsSubcodes
E11.4Type 2 diabetes mellitus with neurological complicationsSubcodes
E11.5Type 2 diabetes mellitus with circulatory complicationsSubcodes
E11.6Type 2 diabetes mellitus with other specified complicationsSubcodes
E11.8Type 2 diabetes mellitus with unspecified complicationsBillable
E11.9Type 2 diabetes mellitus without complicationsBillable
E11.AType 2 diabetes mellitus without complications in remissionBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to E11:

chapterCH4
Endocrine, nutritional and metabolic diseases (E00-E89)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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