ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesE11.22

E11.22

Billable

Type 2 diabetes mellitus with diabetic chronic kidney disease

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E11.22 is a billable code used to indicate a diagnosis of type 2 diabetes mellitus with diabetic chronic kidney disease.

Key Diagnostic Point:

E11.22 refers to Type 2 diabetes mellitus complicated by diabetic chronic kidney disease (CKD). This condition arises when prolonged hyperglycemia leads to damage in the kidneys' filtering units, resulting in decreased renal function. Diabetic CKD is characterized by the presence of albuminuria, a decline in glomerular filtration rate (GFR), and can progress to end-stage renal disease (ESRD) if not managed effectively. Patients with E11.22 often present with elevated HbA1c levels, indicating poor glycemic control, which exacerbates kidney damage. Management typically involves a multidisciplinary approach, including lifestyle modifications, strict glycemic control, and possibly the use of medications such as ACE inhibitors or ARBs to protect renal function. Regular monitoring of kidney function and HbA1c levels is crucial to prevent further complications and to tailor treatment plans effectively.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires understanding of diabetes management and its complications.
  • Involves knowledge of chronic kidney disease stages and their implications.
  • Documentation must clearly link diabetes to CKD.
  • Potential for multiple comorbidities complicating the coding process.

Audit Risk Factors

  • Inadequate documentation of kidney function tests.
  • Failure to document HbA1c levels.
  • Misclassification of CKD stage.
  • Lack of clear linkage between diabetes and CKD in medical records.

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed records of diabetes management, including HbA1c levels and treatment plans.

Common Clinical Scenarios

Patients presenting with uncontrolled diabetes and signs of renal impairment.

Billing Considerations

Ensure documentation reflects the relationship between diabetes and CKD.

Nephrology

Documentation Requirements

Comprehensive renal function assessments and treatment plans for CKD.

Common Clinical Scenarios

Patients with diabetes presenting with worsening renal function.

Billing Considerations

Document all interventions and their impact on renal health.

Coding Guidelines

Inclusion Criteria

Use E11.22 When
  • According to ICD
  • 10 guidelines, E11
  • 22 should be used when there is a documented diagnosis of Type 2 diabetes mellitus and evidence of chronic kidney disease
  • It is essential to ensure that the documentation supports the diagnosis and that the CKD is directly attributable to diabetes

Exclusion Criteria

Do NOT use E11.22 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

83036CPT Code

Hemoglobin A1c test

Clinical Scenario

Used to monitor glycemic control in patients with diabetes.

Documentation Requirements

Document the date of the test and results.

Specialty Considerations

Endocrinologists should ensure regular testing is part of the management plan.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, improving the accuracy of patient records and facilitating better management of chronic conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, improving the accuracy of patient records and facilitating better management of chronic conditions.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Diabetes Association

Coding & Billing References

  • •
    American Diabetes Association

Frequently Asked Questions

What is the significance of HbA1c levels in E11.22?

HbA1c levels are crucial for assessing long-term glycemic control in patients with Type 2 diabetes and can indicate the risk of complications such as CKD.