E08.69 — Diabetes mellitus due to underlying condition with other specified complication
E08.69 is a billable, specific ICD-10-CM code for diabetes mellitus due to underlying condition with other specified complication. It is valid for submission on a claim.
Use additional code
Add a secondary code to capture the detail described below.
- code to identify complication
Risk adjustment
E08.69 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 37 Diabetes with Chronic 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
E08.69 is named in 20 Medicare coverage policies — 20 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 E08.69 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 E08.69.
- Diabetes, diabetic›due to underlying condition›with›complication›specified NEC
Related codes at this level
Codes that share E08.6. If E08.69 is not quite right, the correct code is usually one of these.
- E08.61Diabetes mellitus due to underlying condition with diabetic arthropathy
- E08.62Diabetes mellitus due to underlying condition with skin complications
- E08.63Diabetes mellitus due to underlying condition with oral complications
- E08.64Diabetes mellitus due to underlying condition with hypoglycemia
- E08.65Diabetes mellitus due to underlying condition with hyperglycemia
Questions about E08.69
- Is E08.69 a billable ICD-10-CM code?
- Yes. E08.69 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does E08.69 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).