Respiratory and cardiovascular disorders specific to the perinatal period
ICD-10 Codes (0)
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Updates & Changes
FY 2026 Updates
New Codes (1)
Revised Codes (1)
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 P10-P106 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 ICD-10 code range E08-E13 pertains to Diabetes Mellitus, a group of metabolic disorders characterized by high blood sugar levels over a prolonged period. This range includes codes for Type 1, Type 2, gestational, drug-induced, and other types of diabetes. It also includes codes for various complications and manifestations associated with these conditions, such as diabetic neuropathy, nephropathy, retinopathy, and others.
Key Usage Points:
- •Use E10 for Type 1 diabetes, E11 for Type 2 diabetes, E13 for other specified diabetes mellitus.
- •E08 is used for diabetes due to underlying conditions, E09 for drug or chemical induced diabetes.
- •E12 is used for malnutrition-related diabetes mellitus, while E13 is for other specified diabetes mellitus.
- •For gestational diabetes, use code O24.
- •Controlled vs uncontrolled diabetes is not differentiated in ICD-10.
Coding Guidelines
When to Use:
- ✓When a patient is diagnosed with Type 1 or Type 2 diabetes.
- ✓When a patient has diabetes due to an underlying condition or drug/chemical.
- ✓When a patient has complications from diabetes, such as retinopathy or neuropathy.
- ✓When a patient has malnutrition-related diabetes.
- ✓When a patient has gestational diabetes.
When NOT to Use:
- ✗When a patient has prediabetes or impaired glucose tolerance, use R73.0.
- ✗When a patient has neonatal diabetes mellitus, use P70.2.
- ✗When a patient has secondary diabetes mellitus, use codes E08-E09.
- ✗When a patient has transient diabetes, use P70.1.
Code Exclusions
Always verify exclusions with the latest ICD-10-CM official guidelines.
Documentation Requirements
Documentation for diabetes coding should clearly specify the type of diabetes, any complications or manifestations, and the control status of the diabetes.
Clinical Information:
- •Type of diabetes
- •Presence of any complications
- •Control status of the diabetes
- •Underlying conditions if any
- •Any associated conditions
Supporting Evidence:
- •Lab results confirming diagnosis
- •Medical history
- •Physical examination findings
- •Medication records
Good Documentation Example:
Patient diagnosed with Type 2 diabetes with moderate nonproliferative diabetic retinopathy with macular edema, controlled with insulin.
Poor Documentation Example:
Diabetes
Common Documentation Errors:
- ⚠Not specifying the type of diabetes
- ⚠Not documenting any complications
- ⚠Not stating the control status of the diabetes
- ⚠Not linking diabetes with an associated condition
Range Statistics
Coding Complexity
Coding for diabetes can be complex due to the need to accurately identify the type of diabetes, any associated complications, and the control status. Additionally, the coder must be able to link diabetes with any associated conditions, and keep up with any updates or changes in the ICD-10 codes.
Key Factors:
- ▸Determining the type of diabetes
- ▸Identifying and coding for complications
- ▸Understanding the control status of the diabetes
- ▸Linking diabetes with associated conditions
- ▸Keeping up with updates and changes in the ICD-10 codes
Specialty Focus
Endocrinology and primary care are the main specialties that would use the E08-E13 range frequently.
Primary Specialties:
Clinical Scenarios:
- • A patient with Type 1 diabetes presenting with diabetic ketoacidosis
- • A patient with Type 2 diabetes and peripheral neuropathy
- • A patient with gestational diabetes requiring insulin
- • A patient with drug-induced diabetes after steroid therapy
- • A patient with diabetes due to underlying pancreatic disease
Resources & References
Several resources are available for coders to stay updated and accurate in their coding.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- American Diabetes Association Clinical Practice Recommendations
- Centers for Disease Control and Prevention (CDC) Diabetes Public Health Resource
- World Health Organization (WHO) Diabetes Programme
Clinical References:
- Harrison's Principles of Internal Medicine
- American Diabetes Association Standards of Medical Care in Diabetes
Educational Materials:
- American Health Information Management Association (AHIMA) ICD-10 training
- American Academy of Professional Coders (AAPC) ICD-10 training
Frequently Asked Questions
How do I code for a patient with Type 2 diabetes and diabetic retinopathy?
You would use a combination code. First, code for the Type 2 diabetes (E11), then use a secondary code for the specific type of retinopathy (for example, E11.319 for unspecified diabetic retinopathy).
What is the code for gestational diabetes?
Gestational diabetes is coded as O24 in ICD-10.