All ICD10 Codes
E09Not billable, use a more specific code below

Drug or chemical induced diabetes mellitus

In Diabetes mellitus (E08-E13), chapter 4: Endocrine, Nutritional and Metabolic Diseases

86 billable codes under E09: 5 are an MCC, 1 is a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Also indexed as: Steroid, effects, diabetes

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Instructional notes

Excludes1: not coded here, use a different code

  • 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: code the underlying condition first, then this code

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

Use additional code: add a second code for this, listed after this one

  • 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)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

  • Section I.C.4.a Diabetes mellitus (page 39), covers E09

    Assign as many codes from E08 to E13 as needed for all complications; default to E11.- when type is undocumented. Add Z79 codes for long-term insulin, oral, or injectable drugs, but not Z79.4 for temporary insulin.

Other Chapter 4 topics:

Read Section I.C.4 (page 39)

All codes under E09

E09 can't be used on a claim. Pick a billable code below; grey headings group them.

E09 MS-DRGs

As the principal diagnosis, the billable codes under E09 group to these 16 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to E09

Notes on these codes point to E09.

  • E08 Excludes1: drug or chemical induced diabetes mellitus (E09.-)
  • E10 Excludes1: drug or chemical induced diabetes mellitus (E09.-)
  • E11 Excludes1: drug or chemical induced diabetes mellitus (E09.-)
  • E13 Excludes1: drug or chemical induced diabetes mellitus (E09.-)
  • E87.0 Excludes2: diabetes with hyperosmolarity (E08, E09, E11, E13 with final characters .00 or .01)
  • O24.8 Use Additional Code: from categories E08, E09 and E13 to further identify any manifestation
  • O24.9 Use Additional Code: from categories E08, E09 and E13 to further identify any manifestation

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Diabetes

Diabetes, also known as diabetes mellitus, is a disease in which your blood glucose, or blood sugar, levels are too high. Glucose is your body's main source of energy. Your body can make glucose, but it also comes from the food you eat. Insulin is a hormone made by your pancreas. Insulin helps move glucose from your bloodstream into your cells, where it can be used for energy.

Read more about diabetes on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.