Is E11.6 a billable ICD-10-CM code?

No. E11.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does E11.6 sit in the tabular list?

Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).

E11.6

E11.6 — Type 2 diabetes mellitus with other specified complications

Non-billable headerICD-10-CM

E11.6 is a non-billable header ICD-10-CM code for type 2 diabetes mellitus with other specified complications. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with E11.6

These codes carry an Excludes1 note pointing at E11.6. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E11.6 alone.

E16.1Other hypoglycemia
E16.2Hypoglycemia, unspecified

Risk adjustment

E11.6 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 E11.6

6 child codes. Green means billable.

Related codes at this level

Codes that share E11. If E11.6 is not quite right, the correct code is usually one of these.

Questions about E11.6

Is E11.6 a billable ICD-10-CM code?: No. E11.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does E11.6 sit in the tabular list?: Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).