Type 2 diabetes mellitus without complications

This code signifies a chronic metabolic disorder characterized by elevated blood glucose levels resulting from insulin resistance or insufficient insulin production, without any associated organ damage or other specific health issues directly attributable to the diabetes. Patients typically manage this condition through diet, exercise, and/or oral medications, without requiring insulin therapy for complications.

Apply this code when documentation clearly indicates a diagnosis of type 2 diabetes mellitus with no mention of any acute or chronic complications such as neuropathy, nephropathy, retinopathy, or circulatory issues. This is appropriate for newly diagnosed cases or established cases where the patient's diabetes is well-controlled and has not led to any secondary conditions.

• Do not use this code if any diabetic complications are documented; instead, code the specific complication.
• Ensure the documentation explicitly states "without complications" or implies their absence.
• Refer to the Excludes1 note; do not code with E11.A (type 2 diabetes mellitus, without complications in remission).