RT Welter & Associates is excited to present our monthly Code Spotlight! Each month, RT Welter & Associates will spotlight a unique CPT or ICD-10 code to profile and discuss practice applications of the code, as well as pertinent guideline reminders.
ICD-10 Code – E11.65 – Type 2 Diabetes Mellitus with Hyperglycemia
ICD-10 code E11.65 represents the appropriate diagnosis code for uncontrolled type 2 diabetes without complications.
Clinical documentation must support the following: Elevated glucose (sugar) levels, length of condition, severity of illness, if insulin use is required, and any associated manifestations or underlying chronic diseases. High blood glucose levels in diabetes mellitus are indicative of inadequate or poorly controlled diabetes. Reporting specificity is increasingly important if you participate in an HCC risk adjustment payment model. Clinical documentation must support the complexity of the diagnosis code(s) reported.