E13
E13 — Other specified diabetes mellitus
Non-billable headerICD-10-CM
E13 is a non-billable header ICD-10-CM code for other specified diabetes mellitus. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- diabetes (mellitus) due to autoimmune process (E10.-)
- diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction (E10.-)
- diabetes mellitus due to underlying condition (E08.-)
- drug or chemical induced diabetes mellitus (E09.-)
- gestational diabetes (O24.4-)
- neonatal diabetes mellitus (P70.2)
- type 1 diabetes mellitus (E10.-)
Use additional code
Add a secondary code to capture the detail described below.
Includes
Conditions this code covers.
- diabetes mellitus due to genetic defects of beta-cell function
- diabetes mellitus due to genetic defects in insulin action
- postpancreatectomy diabetes mellitus
- postprocedural diabetes mellitus
- secondary diabetes mellitus NEC
Other codes that can never be billed with E13
These codes carry an Excludes1 note pointing at E13. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E13 alone.
- L92.1Necrobiosis lipoidica, not elsewhere classified
- L99Other disorders of skin and subcutaneous tissue in diseases classified elsewhere
- M14Arthropathies in other diseases classified elsewhere
- M14.6Charcot's joint
- M90Osteopathies in diseases classified elsewhere
- N08Glomerular disorders in diseases classified elsewhere
- N16Renal tubulo-interstitial disorders in diseases classified elsewhere
- N76.82Fournier disease of vagina and vulva
Risk adjustment
E13 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 E13
9 child codes. Green means billable.
- E13.0Other specified diabetes mellitus with hyperosmolarity
- E13.1Other specified diabetes mellitus with ketoacidosis
- E13.2Other specified diabetes mellitus with kidney complications
- E13.3Other specified diabetes mellitus with ophthalmic complications
- E13.4Other specified diabetes mellitus with neurological complications
- E13.5Other specified diabetes mellitus with circulatory complications
- E13.6Other specified diabetes mellitus with other specified complications
- E13.8Other specified diabetes mellitus with unspecified complications
- E13.9Other specified diabetes mellitus without complications
Questions about E13
- Is E13 a billable ICD-10-CM code?
- No. E13 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does E13 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 E13?
- E13 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.