2019 ICD-10-CM Diagnosis Code E11.649

Type 2 diabetes mellitus with hypoglycemia without coma

    2016 2017 2018 2019 Billable/Specific Code
  • E11.649 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM E11.649 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of E11.649 - other international versions of ICD-10 E11.649 may differ.
The following code(s) above E11.649 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to E11.649:
  • E00-E89
    2019 ICD-10-CM Range E00-E89

    Endocrine, nutritional and metabolic diseases

    Note
    • All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.
    Type 1 Excludes
    • transitory endocrine and metabolic disorders specific to newborn (P70-P74)
    Endocrine, nutritional and metabolic diseases
  • E11
    ICD-10-CM Diagnosis Code E11

    Type 2 diabetes mellitus

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • diabetes (mellitus) due to insulin secretory defect
    • diabetes NOS
    • insulin resistant diabetes (mellitus)
    Type 1 Excludes
    • 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 to identify control using:
    • insulin (Z79.4)
    • oral antidiabetic drugs (Z79.84)
    • oral hypoglycemic drugs (Z79.84)
    Type 2 diabetes mellitus
Approximate Synonyms
  • Diabetes mellitus type 2 w complications
  • Diabetes type 2 with hypoglycemia
  • Diabetes type 2 with hypoglycemia unawareness
  • Hypoglycemia due to type 2 diabetes mellitus
  • Insulin reactive hypoglycemia in type 2 diabetes mellitus
  • Unawareness of hypoglycemia in type 2 diabetes mellitus
ICD-10-CM E11.649 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 008 Simultaneous pancreas and kidney transplant
  • 010 Pancreas transplant
  • 637 Diabetes with mcc
  • 638 Diabetes with cc
  • 639 Diabetes without cc/mcc

Convert E11.649 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to E11.649:
  • Type 1 Excludes: E16.1
    , E16.2
    ICD-10-CM Diagnosis Code E16.1

    Other hypoglycemia

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Functional hyperinsulinism
    • Functional nonhyperinsulinemic hypoglycemia
    • Hyperinsulinism NOS
    • Hyperplasia of pancreatic islet beta cells NOS
    Type 1 Excludes
    ICD-10-CM Diagnosis Code E16.2

    Hypoglycemia, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Type 1 Excludes

Diagnosis Index entries containing back-references to E11.649:
  • Diabetes, diabetic (mellitus) (sugar) E11.9
    ICD-10-CM Diagnosis Code E11.9

    Type 2 diabetes mellitus without complications

      2016 2017 2018 2019 Billable/Specific Code Questionable As Admission Dx

ICD-10-CM Codes Adjacent To E11.649
E11.62 Type 2 diabetes mellitus with skin complications
E11.620 Type 2 diabetes mellitus with diabetic dermatitis
E11.621 Type 2 diabetes mellitus with foot ulcer
E11.622 Type 2 diabetes mellitus with other skin ulcer
E11.628 Type 2 diabetes mellitus with other skin complications
E11.63 Type 2 diabetes mellitus with oral complications
E11.630 Type 2 diabetes mellitus with periodontal disease
E11.638 Type 2 diabetes mellitus with other oral complications
E11.64 Type 2 diabetes mellitus with hypoglycemia
E11.641 …… with coma
E11.649 …… without coma
E11.65 Type 2 diabetes mellitus with hyperglycemia
E11.69 Type 2 diabetes mellitus with other specified complication
E11.8 Type 2 diabetes mellitus with unspecified complications
E11.9 Type 2 diabetes mellitus without complications
E13 Other specified diabetes mellitus
E13.0 Other specified diabetes mellitus with hyperosmolarity
E13.00 …… without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E13.01 …… with coma
E13.1 Other specified diabetes mellitus with ketoacidosis
E13.10 …… without coma

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.