E09.69

E09.69: Drug or chemical induced diabetes mellitus with other specified complication

Billable / specific codeICD-10-CM

E09.69 is a billable, specific ICD-10-CM code for drug or chemical induced diabetes mellitus with other specified complication. It is valid for submission on a claim.

Check E09.69 with the rest of the claim: free scrubber

Use additional code

Add a secondary code to capture the detail described below.

code to identify complication

Excludes1 inherited from the categories above E09.69

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 E09.69

Their own Excludes1 notes name this code, so the conflict is not listed above.

E08Diabetes mellitus due to underlying condition
E10Type 1 diabetes mellitus
E11Type 2 diabetes mellitus
E13Other specified diabetes mellitus

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

E09.69 is named in 20 Medicare coverage policies: 20 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›complication›specified NEC

Code history

Unchanged in every release from FY2024 to FY2027.