MCMCB Pro
E09

E09Drug or chemical induced diabetes mellitus

Non-billable headerICD-10-CM

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.

  • poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

Use additional code

Add a secondary code to capture the detail described below.

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • code to identify control using:
  • injectable non-insulin antidiabetic drugs (Z79.85)
  • insulin (Z79.4)
  • oral antidiabetic drugs (Z79.84)
  • oral hypoglycemic drugs (Z79.84)

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.

  • E08Diabetes mellitus due to underlying condition
  • E10Type 1 diabetes mellitus
  • E11Type 2 diabetes mellitus
  • E13Other specified diabetes mellitus
  • E16.0Drug-induced hypoglycemia without coma
  • H28Cataract in diseases classified elsewhere
  • H36Retinal disorders in diseases classified elsewhere

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.

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.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.