E11.8 vs E11.A
E11.8 and E11.A can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter. The distinction is with vs without an associated condition.
The official note, declared on E11.A
type 2 diabetes mellitus, with complications (E11.0-E11.8)
E11.8
Type 2 diabetes mellitus with unspecified complications
BillableUnspecified
- Chapter 4
- Endocrine, nutritional and metabolic diseases
- Section
- E08-E13
Indexed under
- Diabetes, diabetic › with › complication (mellitus) (sugar)
- Diabetes, diabetic › type 2 › with › complication (mellitus) (sugar)
E11.A
Type 2 diabetes mellitus without complications in remission
Billable
- Chapter 4
- Endocrine, nutritional and metabolic diseases
- Section
- E08-E13
Indexed under
- Diabetes, diabetic › without complications in remission (mellitus) (sugar)
- Diabetes, diabetic › type 2 › without complications in remission (mellitus) (sugar)
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027