ICDcodes.org
FY2027

E11.641Type 2 diabetes mellitus with hypoglycemia with coma

BillableMCC

Is E11.641 billable?

Yes — E11.641 is billable for FY2027. E11.641 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. E11.641 may be submitted for encounters from October 1, 2026 through September 30, 2027.

E11.641 at a glance

CodeE11.641
DescriptionType 2 diabetes mellitus with hypoglycemia with coma
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does E11.641 group to?

E11.641 sits in MDC Pre and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 008Simultaneous Pancreas, Islet Cell and Kidney Transplantsurgical

As a secondary diagnosis, E11.641 is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.

How is E11.641 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to E11.641. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Diabetes, diabeticwithcoma due tohypoglycemia (mellitus) (sugar)
  • Diabetes, diabeticwithhypoglycemiawith coma (mellitus) (sugar)
  • Diabetes, diabetictype 2withcoma due tohypoglycemia (mellitus) (sugar)
  • Diabetes, diabetictype 2withhypoglycemiawith coma (mellitus) (sugar)

Excludes1 — never code together — inherited from Chapter 4

The conditions below can never be reported together with E11.641 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

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

Excludes1 — never code together — inherited from E11

The conditions below can never be reported together with E11.641 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • diabetes mellitus due to underlying condition (E08.-)
  • drug or chemical induced diabetes mellitus (E09.-)
  • gestational diabetes (O24.4-)
  • neonatal diabetes mellitus (P70.2)
  • postpancreatectomy diabetes mellitus (E13.-)
  • postprocedural diabetes mellitus (E13.-)
  • secondary diabetes mellitus NEC (E13.-)
  • type 1 diabetes mellitus (E10.-)

Use additional code — inherited from E11

Report an additional code alongside E11.641 to fully describe the condition. E11.641 is sequenced first.

  • code to identify control using:
  • injectable non-insulin antidiabetic drugs (Z79.85)
  • insulin (Z79.4)
  • oral antidiabetic drugs (Z79.84)
  • oral hypoglycemic drugs (Z79.84)

Use additional code — inherited from E11.64

Report an additional code alongside E11.641 to fully describe the condition. E11.641 is sequenced first.

  • code for hypoglycemia level, if applicable (E16.A-)

How long has E11.641 existed?

E11.641 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which conditions are coded to E11.641?

What other codes are in the E11.64 family? (1)