MCMCB Pro
E13

E13Other specified diabetes mellitus

Non-billable headerICD-10-CM

E13 is a non-billable header ICD-10-CM code for other specified 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 autoimmune process (E10.-)
  • diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction (E10.-)
  • diabetes mellitus due to underlying condition (E08.-)
  • drug or chemical induced diabetes mellitus (E09.-)
  • gestational diabetes (O24.4-)
  • neonatal diabetes mellitus (P70.2)
  • type 1 diabetes mellitus (E10.-)

Use additional code

Add a secondary code to capture the detail described below.

  • 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)

Includes

Conditions this code covers.

  • diabetes mellitus due to genetic defects of beta-cell function
  • diabetes mellitus due to genetic defects in insulin action
  • postpancreatectomy diabetes mellitus
  • postprocedural diabetes mellitus
  • secondary diabetes mellitus NEC

Other codes that can never be billed with E13

These codes carry an Excludes1 note pointing at E13. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E13 alone.

  • L92.1Necrobiosis lipoidica, not elsewhere classified
  • L99Other disorders of skin and subcutaneous tissue in diseases classified elsewhere
  • M14Arthropathies in other diseases classified elsewhere
  • M14.6Charcot's joint
  • M90Osteopathies in diseases classified elsewhere
  • N08Glomerular disorders in diseases classified elsewhere
  • N16Renal tubulo-interstitial disorders in diseases classified elsewhere
  • N76.82Fournier disease of vagina and vulva

Risk adjustment

E13 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 E13

9 child codes. Green means billable.

Questions about E13

Is E13 a billable ICD-10-CM code?
No. E13 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does E13 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 E13?
E13 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.