E09.319
E09.319: Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy without macular edema
Billable / specific codeICD-10-CM
E09.319 is a billable, specific ICD-10-CM code for drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy without macular edema. It is valid for submission on a claim.
Check E09.319 with the rest of the claim: free scrubberExcludes1 inherited from the categories above E09.319
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 E09.319
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
E09.319 is named in 32 Medicare coverage policies: 31 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A57069Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green)not covered
- A52451Billing and Coding: Ranibizumab, Aflibercept and biosimilars
- A52464Glucose Monitor - Policy Article
- A52501Therapeutic Shoes for Persons with Diabetes - Policy Article
Alphabetic index entries that lead here
- Diabetes, diabetic›due to drug or chemical›with›retinopathy
Code history
Unchanged in every release from FY2024 to FY2027.