E09.11
E09.11: Drug or chemical induced diabetes mellitus with ketoacidosis with coma
Billable / specific codeICD-10-CM
E09.11 is a billable, specific ICD-10-CM code for drug or chemical induced diabetes mellitus with ketoacidosis with coma. It is valid for submission on a claim.
Check E09.11 with the rest of the claim: free scrubberExcludes1 inherited from the categories above E09.11
A category’s note binds every code beneath it.
Written on E09: Drug or chemical induced diabetes mellitus
- 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.-)
Other codes that can never be billed with E09.11
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
E09.11 is named in 18 Medicare coverage policies: 18 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52464Glucose Monitor - Policy Article
- A52501Therapeutic Shoes for Persons with Diabetes - Policy Article
- A52507External Infusion Pumps - Policy Article
- A52996Billing and Coding: Routine Foot Care
Alphabetic index entries that lead here
- Diabetes, diabetic›due to drug or chemical›with›ketoacidosis›with coma
Code history
Unchanged in every release from FY2024 to FY2027.