E09.354 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment
E09.354 is a non-billable header ICD-10-CM code for drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
One of the following 7th characters is to be assigned to codes in subcategory E09.35 to designate laterality of the disease:
- 1
- right eye
- 2
- left eye
- 3
- bilateral
- 9
- unspecified eye
Risk adjustment
E09.354 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.
How E09.354 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 E09.354.
- Diabetes, diabetic›due to drug or chemical›with›retinopathy›proliferative›with›combined traction retinal detachment and rhegmatogenous retinal detachment
Code to one of these instead E09.354
4 child codes. Green means billable.
- E09.3541Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
- E09.3542Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
- E09.3543Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
- E09.3549Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
Related codes at this level
Codes that share E09.35. If E09.354 is not quite right, the correct code is usually one of these.
- E09.351Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema
- E09.352Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula
- E09.353Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula
- E09.355Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy
- E09.359Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema
Questions about E09.354
- Is E09.354 a billable ICD-10-CM code?
- No. E09.354 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does E09.354 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).