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E11.A

E11.AType 2 diabetes mellitus without complications in remission

Billable / specific codeICD-10-CM

E11.A is a billable, specific ICD-10-CM code for type 2 diabetes mellitus without complications in remission. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • type 2 diabetes mellitus, with complications (E11.0-E11.8)
  • type 2 diabetes mellitus, without complications not in remission (E11.9)

Other codes that can never be billed with E11.A

These codes carry an Excludes1 note pointing at E11.A. 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.A alone.

  • E11.9Type 2 diabetes mellitus without complications

Risk adjustment

E11.A 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.

Medicare coverage

E11.A is named in 3 Medicare coverage policies 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A52370Billing and Coding: Bevacizumab and biosimilars
  • A56232Billing and Coding: Foot Care
  • A56544Billing and Coding: Cataract Extraction

How E11.A is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to E11.A.

  • Diabetes, diabeticwithout complications in remission
  • Diabetes, diabetictype 2without complications in remission

There’s a guided path to this code

Not sure E11.A is the right one? Answer a few questions about what the chart documents and we’ll walk you to the code that follows from it.

Related codes at this level

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

Questions about E11.A

Is E11.A a billable ICD-10-CM code?
Yes. E11.A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does E11.A 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 E11.A?
E11.A carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.