E11.9

Billable

Type 2 diabetes mellitus without complications

Chapter 4: Endocrine, nutritional and metabolic diseases

Additional Information

From parent codes: E00-E89 (Chapter 4)

Excludes 1 — Not Coded HereFrom E00-E89

Excludes1 means 'NOT CODED HERE!' An Excludes1 note indicates mutually exclusive codes: two conditions that cannot be reported together.

  • transitory endocrine and metabolic disorders specific to newborn (P70-P74)
NotesFrom E00-E89

Additional notes from parent codes that apply to this code.

  • All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.

Inpatient DRG Payments

DRG 63826,317 discharges

Diabetes With Cc

Avg. Medicare Payment

$6,926

Total Payment$9,215
Patient Responsibility$2,288
Hospital Charge$43,062
DRG 63720,859 discharges

Diabetes With Mcc

Avg. Medicare Payment

$11,464

Total Payment$14,037
Patient Responsibility$2,573
Hospital Charge$69,906
DRG 639158 discharges

Diabetes Without Cc/mcc

Avg. Medicare Payment

$5,173

Total Payment$7,422
Patient Responsibility$2,250
Hospital Charge$34,689