E09 — Drug or chemical induced diabetes mellitus
E09 is a non-billable header ICD-10-CM code for drug or chemical induced diabetes mellitus. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- diabetes mellitus due to underlying condition (E08.-)
- gestational diabetes (O24.4-)
- neonatal diabetes mellitus (P70.2)
- postpancreatectomy diabetes mellitus (E13.-)
- postprocedural diabetes mellitus (E13.-)
- secondary diabetes mellitus NEC (E13.-)
- type 1 diabetes mellitus (E10.-)
- type 2 diabetes mellitus (E11.-)
Code first
The underlying condition must be sequenced before this code.
Use additional code
Add a secondary code to capture the detail described below.
Other codes that can never be billed with E09
These codes carry an Excludes1 note pointing at E09. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E09 alone.
Risk adjustment
E09 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead E09
9 child codes. Green means billable.
- E09.0Drug or chemical induced diabetes mellitus with hyperosmolarity
- E09.1Drug or chemical induced diabetes mellitus with ketoacidosis
- E09.2Drug or chemical induced diabetes mellitus with kidney complications
- E09.3Drug or chemical induced diabetes mellitus with ophthalmic complications
- E09.4Drug or chemical induced diabetes mellitus with neurological complications
- E09.5Drug or chemical induced diabetes mellitus with circulatory complications
- E09.6Drug or chemical induced diabetes mellitus with other specified complications
- E09.8Drug or chemical induced diabetes mellitus with unspecified complications
- E09.9Drug or chemical induced diabetes mellitus without complications
Questions about E09
- Is E09 a billable ICD-10-CM code?
- No. E09 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does E09 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).
- What cannot be coded together with E09?
- E09 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.