ICD-10 Code E10.A1 – Type 1 diabetes mellitus, presymptomatic, Stage 1 (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Type 1 diabetes mellitus, presymptomatic, Stage 1 is E10.A1.
2026 ICD-10-CM Diagnosis Code E10.A1 – Type 1 diabetes mellitus, presymptomatic, Stage 1

What it is

This code identifies stage 1 presymptomatic type 1 diabetes mellitus. It means you are documenting early autoimmune disease before classic diabetes symptoms appear.

Clinical signs

Clinical features vary; refer to documentation. Stage 1 is typically identified by islet autoimmunity with no overt hyperglycemia or classic diabetic symptoms.

When to use this code

Use this code when the record specifically documents presymptomatic stage 1 type 1 diabetes. It may appear in screening, surveillance, or specialist notes describing autoimmune diabetes before clinical onset. Do not infer the stage from family history alone.

Do not use for

Do not use this code for established type 1 diabetes, type 2 diabetes, or other diabetes types. If the chart does not clearly state stage 1 presymptomatic disease, check documentation.

Coding tip

Assign E10.A1 only when the provider explicitly documents presymptomatic stage 1 type 1 diabetes.

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