ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 E11.A

Billable / Specific

Type 2 diabetes mellitus without complications in remission

E11
Block
0
Synonyms
27
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM E11.A

ICD-10-CM code E11.A represents Type 2 diabetes mellitus without complications in remission. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E11). The 2026 edition of ICD-10-CM E11.A became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with E11.A. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

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

Medicare LCD Coverage for E11.A

Local Coverage Determinations (LCDs) from CMS MACs that list E11.A as a covered diagnosis.

27 LCDs

Showing top 10 of 27 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Cataract Extraction
Article ID: 56544, Effective: 2025-10-01 00:00:00, 402 covered, 0 non-covered
CPT 66982 →
CMS LCD: Billing and Coding: Cataract Extraction
Article ID: 56544, Effective: 2025-10-01 00:00:00, 402 covered, 0 non-covered
CPT 66983 →
CMS LCD: Billing and Coding: Cataract Extraction
Article ID: 56544, Effective: 2025-10-01 00:00:00, 402 covered, 0 non-covered
CPT 66852 →
CMS LCD: Billing and Coding: Cataract Extraction
Article ID: 56544, Effective: 2025-10-01 00:00:00, 402 covered, 0 non-covered
CPT 66850 →
CMS LCD: Billing and Coding: Cataract Extraction
Article ID: 56544, Effective: 2025-10-01 00:00:00, 402 covered, 0 non-covered
CPT 66840 →
CMS LCD: Billing and Coding: Cataract Extraction
Article ID: 56544, Effective: 2025-10-01 00:00:00, 402 covered, 0 non-covered
CPT 66940 →
CMS LCD: Billing and Coding: Cataract Extraction
Article ID: 56544, Effective: 2025-10-01 00:00:00, 402 covered, 0 non-covered
CPT 66920 →
CMS LCD: Billing and Coding: Cataract Extraction
Article ID: 56544, Effective: 2025-10-01 00:00:00, 402 covered, 0 non-covered
CPT 66988 →
CMS LCD: Billing and Coding: Cataract Extraction
Article ID: 56544, Effective: 2025-10-01 00:00:00, 402 covered, 0 non-covered
CPT 66984 →
CMS LCD: Billing and Coding: Cataract Extraction
Article ID: 56544, Effective: 2025-10-01 00:00:00, 402 covered, 0 non-covered
CPT 66987 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing E11.A.

4 policies

1 Cigna

Plasma Brain Natriuretic Peptide in the Outpatient Setting - (0028)
Policy ID: MM_0028

3 Medicare

Billing and Coding: Bevacizumab and biosimilars
Policy ID: ART-52370
Billing and Coding: Foot Care
Policy ID: ART-56232
Billing and Coding: Cataract Extraction
Policy ID: ART-56544

CPT Codes Commonly Billed with E11.A

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for E11.A

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Codes Adjacent To E11.A

Other codes in section E08-E13 (Diabetes mellitus).

E08 Diabetes mellitus due to underlying condition (non-billable) E08.0 Diabetes mellitus due to underlying condition with hyperosmolarity (non-billable) E08.00 Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E08.01 Diabetes mellitus due to underlying condition with hyperosmolarity with coma E08.1 Diabetes mellitus due to underlying condition with ketoacidosis (non-billable) E08.10 Diabetes mellitus due to underlying condition with ketoacidosis without coma E08.11 Diabetes mellitus due to underlying condition with ketoacidosis with coma E08.2 Diabetes mellitus due to underlying condition with kidney complications (non-billable) E08.21 Diabetes mellitus due to underlying condition with diabetic nephropathy E08.22 Diabetes mellitus due to underlying condition with diabetic chronic kidney disease E08.29 Diabetes mellitus due to underlying condition with other diabetic kidney complication E08.3 Diabetes mellitus due to underlying condition with ophthalmic complications (non-billable) E08.31 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy (non-billable) E08.311 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema E08.319 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular edema E08.32 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy (non-billable) E08.321 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema (non-billable) E08.329 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema (non-billable) E08.33 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy (non-billable) E08.331 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema (non-billable)

ICD-10 E11.A, Billing FAQ

Is ICD-10 code E11.A billable? +

Yes, E11.A is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for E11.A? +

Type 1 Excludes (never code together with E11.A): type 2 diabetes mellitus, with complications (E11.0-E11.8); type 2 diabetes mellitus, without complications not in remission (E11.9)

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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