ICD-10 REQUIRED
Documentation for
Specificity
Diabetes Mellitus – Type II
THE ICD-10 DOCUMENTER SERIES
Documentation
Indicate the type or cause:
Type I vs. Type II
Due to underlying condition:
Pancreatic disease or Cushing's syndrome), or
drug/chemical induced (such as
immunosuppressive or chemotherapy drugs)
Fully document all complications:
Each individual complication will result in the
selection of an additional ICD-10 code
Skin related complications - skin ulcers:
document the detailed location and laterality (right
ankle)
Diabetic retinopathy:
Proliferative or non-proliferative (mild, moderate,
severe), and indicate the presence or absence of
macular edema
Peripheral vascular disease complications:
Presence or absence of gangrene
Hypoglycemia is the presenting symptom:
Presence or absence of coma
Neurologic complications:
Differentiate between mononeuropathy,
polyneuropathy, autonomic polyneuropathy, or
amyotrophy
Include documentation regarding any oral or
arthropathy complications
Include any long term use of insulin
ICD-9 Codes
250.80 Diabetes with other specified manifestations, type II or unspecified type, not stated
as uncontrolled
707.15 Ulcer of other part of foot
401.1 Benign essential hypertension
Below are a few example ICD-10 codes selected to help display how the clinical features of this
condition align with the documentation requirements of ICD-10.
ICD-10 Codes
E11.621 Type 2 diabetes mellitus with foot ulcer
L97.511 Non-prs chronic ulcer oth prt r foot limited to brkdwn skin
I10
Essential (primary) hypertension
E11.01 Type 2 diabetes mellitus with hyperosmolarity with coma
E11.22 Type 2 diabetes mellitus w diabetic chronic kidney disease
E11.321 Type 2 diab w mild nonprlf diabetic rtnop w macular edema
E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy
E11.52 Type 2 diabetes w diabetic peripheral angiopathy w gangrene
E11.610 Type 2 diabetes mellitus w diabetic neuropathic arthropathy
E11.630 Type 2 diabetes mellitus with periodontal disease
E11.649 Type 2 diabetes mellitus with hypoglycemia without coma
E11.9
Type 2 diabetes mellitus without complications