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Type 2 diabetes mellitus

Type 2 diabetes mellitus
Use additional code to identify:
Insulin Use (Z79.4)

ICD-9    250.52 Diabetes with ophthalmic manifestations type 2 uncontrolled

ICD-10  E11.3 Type 1 diabetes mellitus with ophthalmic complications

E11.311 …Type 2 dm with unspecified diabetic retinopathy with macular edema
E11.319... Type 2 dm with unspec diabetic retinopathy without macular edema
E11.36…Type 2 dm with diabetic cataract
E11.39... Type 2 diabetes mellitus with other diabetic ophthalmic complication
E11.65 Type 2 diabetes mellitus with hyperglycemia

Guidelines state: 

 “The diabetes mellitus codes are combination codes that include the type of diabetes mellitus, the body system affected, and the complications affecting that body system.”

“They should be sequenced based on the reasons for a particular encounter.” 

“The age of a patient is not the sole determining factor, though most type 1 diabetics develop the condition before reaching puberty. For this reason type 1 diabetes mellitus is also referred to as juvenile diabetes.”

“If the type of diabetes mellitus is not documented in the medical record the default is E11.-, Type 2 diabetes mellitus. 

ICD-10-CM Draft Official Guidelines for Coding and Reporting

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