Is E13.61 a billable ICD-10-CM code?

No. E13.61 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does E13.61 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 E13.61?

E13.61 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 E13.61 (E13) and apply to it just the same.

E13.61

E13.61 — Other specified diabetes mellitus with diabetic arthropathy

Non-billable headerICD-10-CM

E13.61 is a non-billable header ICD-10-CM code for other specified diabetes mellitus with diabetic arthropathy. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above E13.61

These are not written on E13.61, but they bind it: a note on a category applies to every code beneath it. Billing E13.61 with anything listed here is a denial.

Written on E13 — Other specified diabetes mellitus

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.-)

Other codes that can never be billed with E13.61

These codes carry an Excludes1 note pointing at E13.61. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E13.61 alone.

E10Type 1 diabetes mellitus
E11Type 2 diabetes mellitus
E09Drug or chemical induced diabetes mellitus
E08Diabetes mellitus due to underlying condition

Risk adjustment

E13.61 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 history

E13.61 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead E13.61

2 child codes. Green means billable.

Related codes at this level

Codes that share E13.6. If E13.61 is not quite right, the correct code is usually one of these.

Questions about E13.61

Is E13.61 a billable ICD-10-CM code?: No. E13.61 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does E13.61 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 E13.61?: E13.61 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 E13.61 (E13) and apply to it just the same.