ICD-10 Code E11.63 – Type 2 diabetes mellitus with oral complications (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Type 2 diabetes mellitus with oral complications is E11.63.
2026 ICD-10-CM Diagnosis Code E11.63 – Type 2 diabetes mellitus with oral complications

What it is

E11.63 identifies type 2 diabetes mellitus with oral complications. Use it when diabetes is documented as affecting the mouth, such as periodontal or other oral disease linked to the condition.

Clinical signs

Clinical features vary; refer to documentation. Oral findings may include gum disease, mouth infections, delayed healing, or other dentist- or clinician-documented complications associated with diabetes.

When to use this code

Use this code when the provider documents type 2 diabetes with a specific oral complication and links the two conditions. It is appropriate when the chart states the oral problem is due to, or associated with, diabetes. If the record only notes diabetes and a separate mouth condition without a causal link, check documentation.

Do not use for

Do not use this code for uncomplicated type 2 diabetes or for oral conditions that are unrelated to diabetes. If the oral diagnosis is not clearly connected to diabetes, code the conditions separately and verify the documentation.

Coding tip

Look for explicit provider wording connecting the oral complication to type 2 diabetes before assigning E11.63.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *