Is E13.9 a billable ICD-10-CM code?

Yes. E13.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does E13.9 sit in the tabular list?

Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).

E13.9

E13.9 — Other specified diabetes mellitus without complications

Billable / specific codeICD-10-CM

E13.9 is a billable, specific ICD-10-CM code for other specified diabetes mellitus without complications. It is valid for submission on a claim.

Risk adjustment

E13.9 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 38 Diabetes with No, Glycemic, or Unspecified Complications0.166 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

E13.9 is named in 26 Medicare coverage policies — 26 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52464Glucose Monitor - Policy Article
A52501Therapeutic Shoes for Persons with Diabetes - Policy Article
A52507External Infusion Pumps - Policy Article
A52996Billing and Coding: Routine Foot Care

How E13.9 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to E13.9.

Diabetes, diabetic›hepatogenous
Diabetes, diabetic›specified type NEC

Related codes at this level

Codes that share E13. If E13.9 is not quite right, the correct code is usually one of these.

Questions about E13.9

Is E13.9 a billable ICD-10-CM code?: Yes. E13.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does E13.9 sit in the tabular list?: Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).