E09.3
E09.3 — Drug or chemical induced diabetes mellitus with ophthalmic complications
Non-billable headerICD-10-CM
E09.3 is a non-billable header ICD-10-CM code for drug or chemical induced diabetes mellitus with ophthalmic complications. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with E09.3
These codes carry an Excludes1 note pointing at E09.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E09.3 alone.
Risk adjustment
E09.3 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 E09.3
8 child codes. Green means billable.
- E09.31Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy
- E09.32Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy
- E09.33Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy
- E09.34Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy
- E09.35Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy
- E09.36Drug or chemical induced diabetes mellitus with diabetic cataract
- E09.37Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment
- E09.39Drug or chemical induced diabetes mellitus with other diabetic ophthalmic complication
Related codes at this level
Codes that share E09. If E09.3 is not quite right, the correct code is usually one of these.
- E09.0Drug or chemical induced diabetes mellitus with hyperosmolarity
- E09.1Drug or chemical induced diabetes mellitus with ketoacidosis
- E09.2Drug or chemical induced diabetes mellitus with kidney complications
- E09.4Drug or chemical induced diabetes mellitus with neurological complications
- E09.5Drug or chemical induced diabetes mellitus with circulatory complications
- E09.6Drug or chemical induced diabetes mellitus with other specified complications
- E09.8Drug or chemical induced diabetes mellitus with unspecified complications
- E09.9Drug or chemical induced diabetes mellitus without complications
Questions about E09.3
- Is E09.3 a billable ICD-10-CM code?
- No. E09.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does E09.3 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).