E09.39 — Drug or chemical induced diabetes mellitus with other diabetic ophthalmic complication
E09.39 is a billable, specific ICD-10-CM code for drug or chemical induced diabetes mellitus with other diabetic ophthalmic complication. It is valid for submission on a claim.
Use additional code
Add a secondary code to capture the detail described below.
Excludes1 inherited from the categories above E09.39
These are not written on E09.39, but they bind it: a note on a category applies to every code beneath it. Billing E09.39 with anything listed here is a denial.
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 E09.39
These codes carry an Excludes1 note pointing at E09.39. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E09.39 alone.
Risk adjustment
E09.39 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.
Medicare coverage
E09.39 is named in 23 Medicare coverage policies — 23 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 E09.39 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 E09.39.
- Diabetes, diabetic›due to drug or chemical›with›ophthalmic complication NEC
- Diabetes, diabetic›due to drug or chemical›with›retinal, hemorrhage
Code history
E09.39 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share E09.3. If E09.39 is not quite right, the correct code is usually one of these.
- 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
Questions about E09.39
- Is E09.39 a billable ICD-10-CM code?
- Yes. E09.39 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does E09.39 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).
- What cannot be coded together with E09.39?
- E09.39 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above E09.39 (E09) and apply to it just the same.