ICD-10 Code E11.22 – Type 2 diabetes mellitus with diabetic chronic kidney disease (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code E11.22 – Type 2 diabetes mellitus with diabetic chronic kidney disease
What it is
E11.22 identifies type 2 diabetes mellitus with chronic kidney disease caused by or associated with diabetes. Use it when the record clearly links the kidney disease to diabetes.
Clinical signs
Clinical features vary; refer to documentation. Commonly, the chart shows type 2 diabetes plus chronic kidney disease, renal impairment, or diabetic nephropathy noted by the provider.
When to use this code
Use E11.22 when the provider documents diabetic chronic kidney disease, diabetic nephropathy, or diabetes with CKD. Code the stage of CKD separately when it is documented. If the record does not clearly connect diabetes and kidney disease, check documentation before assigning this code.
Do not use for
Do not use this code for type 2 diabetes without kidney involvement or for CKD clearly documented as unrelated to diabetes. If the kidney condition is acute only, check documentation.
Coding tip
Always verify the causal link between diabetes and CKD in the provider note before coding E11.22.