E10
E10 — Type 1 diabetes mellitus
Non-billable headerICD-10-CM
E10 is a non-billable header ICD-10-CM code for type 1 diabetes mellitus. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- diabetes mellitus due to underlying condition (E08.-)
- drug or chemical induced diabetes mellitus (E09.-)
- gestational diabetes (O24.4-)
- hyperglycemia NOS (R73.9)
- neonatal diabetes mellitus (P70.2)
- postpancreatectomy diabetes mellitus (E13.-)
- postprocedural diabetes mellitus (E13.-)
- secondary diabetes mellitus NEC (E13.-)
- type 2 diabetes mellitus (E11.-)
Includes
Conditions this code covers.
- brittle diabetes (mellitus)
- diabetes (mellitus) due to autoimmune process
- diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction
- idiopathic diabetes (mellitus)
- juvenile onset diabetes (mellitus)
- ketosis-prone diabetes (mellitus)
Other codes that can never be billed with E10
These codes carry an Excludes1 note pointing at E10. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E10 alone.
Risk adjustment
E10 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead E10
9 child codes. Green means billable.
- E10.1Type 1 diabetes mellitus with ketoacidosis
- E10.2Type 1 diabetes mellitus with kidney complications
- E10.3Type 1 diabetes mellitus with ophthalmic complications
- E10.4Type 1 diabetes mellitus with neurological complications
- E10.5Type 1 diabetes mellitus with circulatory complications
- E10.6Type 1 diabetes mellitus with other specified complications
- E10.8Type 1 diabetes mellitus with unspecified complications
- E10.9Type 1 diabetes mellitus without complications
- E10.AType 1 diabetes mellitus, presymptomatic
Questions about E10
- Is E10 a billable ICD-10-CM code?
- No. E10 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does E10 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).
- What cannot be coded together with E10?
- E10 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.