Brock,
For the cqm's you must input a cpt code into AC or the encounter will not be counted. You can put whatever you like on your manually created superbill, but you MUST enter a cpt when you sign off your note in AC.
As to the ICD codes, I can't specifically speak to that cqm, but if you think about it, how would the AC wizard know to count the patient as a diabetic unless you had entered the diabetes ICD code? I think you need the ICD code for that cqm as well.