E11.65 Type 2 diabetes mellitus with hyperglycemia
E11.65 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.
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 E11.65.
The ICD-10-CM code for Type 2 diabetes mellitus with hyperglycemia is E11.65 (FY2026). It is a billable, claim-ready diagnosis code.
Choosing between codes? See the guide: ICD-10 code for type 2 diabetes.
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 E11.65:
- Diabetes, diabetic (mellitus) (sugar) › with › hyperglycemia
- Diabetes, diabetic (mellitus) (sugar) › type 2 › with › hyperglycemia
U.S. Hospital Utilization
- An estimated 2,091,855 U.S. inpatient stays in 2023 included E11.65 among the documented diagnoses.
- 46,680 stays listed it as the principal diagnosis.
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 indicated3) 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:
Diabetes mellitus (TOC entry)a. Diabetes mellitus ................................................................................................................... 39
Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026
References
Cite This Page
Reference E11.65 with the canonical source and edition:
E11.65 — Type 2 diabetes mellitus with hyperglycemia. ICD-10 Coding Pro (ICD-10-CM FY2026). https://icd10codingpro.com/codes/E11.65
Canonical URL: https://icd10codingpro.com/codes/E11.65