E11.630 Type 2 diabetes mellitus with periodontal disease

✓ Billable HCC RxHCC ICD-10-CM 2026

E11.630 is a risk-adjusting diagnosis under CMS-HCC and RxHCC models. Create a free account to see model versions, RAF contribution, and AI-powered HCC suppression analysis.

Create your free account → Open E11.630 in the app →

Get what a quick lookup can't: the AI assistant for official-guideline questions, HCC risk-adjustment mappings (CMS-HCC V24/V28, RxHCC), FDA drug indications, and AHA Coding Clinic references for E11.630.

The ICD-10-CM code for Type 2 diabetes mellitus with periodontal disease is E11.630 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Section
E08-E13: Diabetes mellitus (E08-E13)
Category E11
65 codes (48 billable)
FY2026 Status
Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to E11.630:

  • Diabetes, diabetic (mellitus) (sugar) › with › periodontal disease
  • Diabetes, diabetic (mellitus) (sugar) › type 2 › with › periodontal disease

U.S. Hospital Utilization

  • An estimated 220 U.S. inpatient stays in 2023 included E11.630 among the documented diagnoses.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Use of insulin/oral/injectable drugs when type not indicated

3) Diabetes mellitus and the use of insulin, oral hypoglycemics, and injectable non-insulin drugs If the documentation in a medical record does not indicate the type of diabetes but does indicate that the patient uses insulin, code E11-, Type 2 diabetes mellitus, should be assigned. Additional code(s) should be assigned from category Z79 to identify the long-term (current) use of insulin, oral hypoglycemic drugs, or injectable non-insulin antidiabetic, as follows:

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.4.a.3
Diabetes mellitus (TOC entry)

a. Diabetes mellitus ................................................................................................................... 39

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.4.a

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Cite This Page

Reference E11.630 with the canonical source and edition:

E11.630 — Type 2 diabetes mellitus with periodontal disease. ICD-10 Coding Pro (ICD-10-CM FY2026). https://icd10codingpro.com/codes/E11.630

Canonical URL: https://icd10codingpro.com/codes/E11.630

Related Codes

Related HCPCS Level II Codes

Search all 70,000+ ICD-10-CM codes →
Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

Get HCC Mappings, Clinical Summaries, and More

Access premium features including HCC risk adjustment, FDA drug indications, AI coding assistant, and comprehensive clinical context.

Start Free Trial