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Updates & Changes
FY 2026 Updates
New Codes (1)
Revised Codes (2)
Deleted Codes
No codes deleted in this range for FY 2026
Historical Changes
- •FY 2025: Routine maintenance updates with minor terminology clarifications
- •FY 2024: Enhanced specificity requirements for certain code ranges
- •FY 2023: Updated documentation guidelines for improved clarity
Upcoming Changes
- •Proposed updates pending review by Coordination and Maintenance Committee
- •Under consideration: Enhanced digital health integration codes
Implementation Guidance
- •Review all FY 2026 updates for B10-B10 codes before implementation
- •Always verify the most current codes in the ICD-10-CM manual
- •Ensure clinical documentation supports the selected diagnosis codes
- +3 more guidance items...
Range Overview
The E08-E13 range in the ICD-10 is dedicated to Diabetes Mellitus, a chronic metabolic disorder characterized by persistent hyperglycemia. It encompasses all types of diabetes, including Type 1, Type 2, gestational, and drug-induced diabetes. The codes also account for complications and manifestations associated with diabetes, such as neuropathy, retinopathy, nephropathy, and cardiovascular disease.
Key Usage Points:
- •E08-E13 codes are used to specify the type of diabetes and any associated complications.
- •E11.9 should be used for Type 2 diabetes without complications.
- •E10.9 is used for Type 1 diabetes without complications.
- •E13.9 is for other specified diabetes mellitus without complications.
- •E08.9 is used for diabetes mellitus due to underlying condition without complications.
Coding Guidelines
When to Use:
- ✓When a patient has been diagnosed with Type 1 or Type 2 diabetes.
- ✓When a patient has diabetes due to an underlying condition.
- ✓When a patient has gestational diabetes.
- ✓When a patient has drug-induced diabetes.
When NOT to Use:
- ✗When a patient has prediabetes or impaired glucose tolerance.
- ✗When a patient has a family history of diabetes but no personal diagnosis.
- ✗When a patient has symptoms of diabetes but no confirmed diagnosis.
- ✗When a patient has secondary diabetes due to a condition not specified in E08-E13.
Code Exclusions
Always verify exclusions in the ICD-10 manual to ensure accurate coding.
Documentation Requirements
Documentation for diabetes coding should include the type of diabetes, the control status (controlled or uncontrolled), and any complications or manifestations. The specific cause of the diabetes, if known, should also be documented.
Clinical Information:
- •Type of diabetes
- •Control status
- •Complications or manifestations
- •Cause of diabetes (if known)
Supporting Evidence:
- •Lab results confirming diagnosis
- •Medical history
- •Physical examination findings
- •Treatment plan
Good Documentation Example:
Patient has Type 2 diabetes. Blood glucose levels are well-controlled on metformin. No complications noted.
Poor Documentation Example:
Patient has diabetes.
Common Documentation Errors:
- ⚠Not specifying the type of diabetes
- ⚠Failing to document control status
- ⚠Not noting any complications or manifestations
- ⚠Not indicating the cause of the diabetes
Range Statistics
Coding Complexity
Coding for diabetes can be complex due to the need to accurately identify the type of diabetes, any complications, the control status, and the cause of the diabetes. However, with proper documentation and understanding of the ICD-10 guidelines, this complexity can be managed.
Key Factors:
- ▸Determining the type of diabetes
- ▸Identifying and coding for complications
- ▸Understanding the control status
- ▸Recognizing the cause of diabetes
Specialty Focus
Endocrinology is the primary specialty using these codes, but they are also used in primary care, obstetrics, ophthalmology, and cardiology.
Primary Specialties:
Clinical Scenarios:
- • A patient with Type 1 diabetes presenting with diabetic ketoacidosis
- • A patient with Type 2 diabetes and peripheral neuropathy
- • A pregnant patient diagnosed with gestational diabetes
- • A patient with diabetes due to pancreatic disease
Resources & References
The ICD-10-CM Official Guidelines for Coding and Reporting and the American Diabetes Association's Standards of Medical Care in Diabetes are key resources for coding diabetes.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- American Diabetes Association's Standards of Medical Care in Diabetes
Clinical References:
Educational Materials:
Frequently Asked Questions
How do I code for uncontrolled diabetes?
Uncontrolled diabetes is coded based on the type of diabetes and any complications. For example, uncontrolled Type 2 diabetes with kidney complications would be coded as E11.22.