DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

E09 Drug or chemical induced diabetes mellitus

  • Header · not billable
  • Some codes take a 7th character

E09 is not billable. The category heads 86 billable codes in FY2027, grouped under 9 subdivisions.

Index → code

  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemical → E09.9
  • Steroideffects (adverse) (adrenocortical) (iatrogenic)diabetes → see category E09
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithcataract → E09.36

Where it sits

  1. Chapter 4 Endocrine, nutritional and metabolic diseases (E00-E89)
  2. E08-E13 Diabetes mellitus (E08-E13)
  3. E09 Drug or chemical induced diabetes mellitus
Billable codes
86
Subdivisions
9
CC / MCC codes
1 / 5
HCC V28 codes
0
New FY2027
0
Index entries
63

Codes in E09

  1. E09.0
    Drug or chemical induced diabetes mellitus with hyperosmolarity
    Header
  2. E09.00
    Drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
    BillableMCC
  3. E09.01
    Drug or chemical induced diabetes mellitus with hyperosmolarity with coma
    BillableMCC
  4. E09.1
    Drug or chemical induced diabetes mellitus with ketoacidosis
    Header
  5. E09.10
    Drug or chemical induced diabetes mellitus with ketoacidosis without coma
    BillableMCC
  6. E09.11
    Drug or chemical induced diabetes mellitus with ketoacidosis with coma
    BillableMCC
  7. E09.2
    Drug or chemical induced diabetes mellitus with kidney complications
    Header
  8. E09.21
    Drug or chemical induced diabetes mellitus with diabetic nephropathy
    Billable
    Inclusion terms 3

    Inclusion terms

    • Drug or chemical induced diabetes mellitus with intercapillary glomerulosclerosis
    • Drug or chemical induced diabetes mellitus with intracapillary glomerulonephrosis
    • Drug or chemical induced diabetes mellitus with Kimmelstiel-Wilson disease
  9. E09.22
    Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease
    Billable
    Use additional code 1

    Use additional code

    • code to identify stage of chronic kidney disease (N18.1-N18.6) N18.1 N18.6
  10. E09.29
    Drug or chemical induced diabetes mellitus with other diabetic kidney complication
    Billable
    Inclusion terms 1

    Inclusion terms

    • Drug or chemical induced diabetes mellitus with renal tubular degeneration
  11. E09.3
    Drug or chemical induced diabetes mellitus with ophthalmic complications
    Header
  12. E09.31
    Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy
    Header
  13. E09.311
    Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy with macular edema
    Billable
  14. E09.319
    Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy without macular edema
    Billable
  15. E09.32
    Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy
    Header
    Inclusion terms 1

    Inclusion terms

    • Drug or chemical induced diabetes mellitus with nonproliferative diabetic retinopathy NOS
  16. E09.321
    Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema +7th: 1 2 3 9
    Needs 7th character
  17. E09.329
    Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema +7th: 1 2 3 9
    Needs 7th character
  18. E09.33
    Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy
    Header
  19. E09.331
    Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema +7th: 1 2 3 9
    Needs 7th character
  20. E09.339
    Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema +7th: 1 2 3 9
    Needs 7th character
  21. E09.34
    Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy
    Header
  22. E09.341
    Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema +7th: 1 2 3 9
    Needs 7th character
  23. E09.349
    Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema +7th: 1 2 3 9
    Needs 7th character
  24. E09.35
    Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy
    Header
  25. E09.351
    Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema +7th: 1 2 3 9
    Needs 7th character
  26. E09.352
    Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula +7th: 1 2 3 9
    Needs 7th character
  27. E09.353
    Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula +7th: 1 2 3 9
    Needs 7th character
  28. E09.354
    Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment +7th: 1 2 3 9
    Needs 7th character
  29. E09.355
    Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy +7th: 1 2 3 9
    Needs 7th character
  30. E09.359
    Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema +7th: 1 2 3 9
    Needs 7th character
  31. E09.36
    Drug or chemical induced diabetes mellitus with diabetic cataract
    Billable
  32. E09.37
    Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment +7th: 1 2 3 9
    Needs 7th character
  33. E09.39
    Drug or chemical induced diabetes mellitus with other diabetic ophthalmic complication
    Billable
    Use additional code 2

    Use additional code

    • code to identify manifestation, such as:
    • diabetic glaucoma (H40-H42) H40 H42
  34. E09.4
    Drug or chemical induced diabetes mellitus with neurological complications
    Header
  35. E09.40
    Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified
    Billable
  36. E09.41
    Drug or chemical induced diabetes mellitus with neurological complications with diabetic mononeuropathy
    Billable
  37. E09.42
    Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy
    Billable
    Inclusion terms 1

    Inclusion terms

    • Drug or chemical induced diabetes mellitus with diabetic neuralgia
  38. E09.43
    Drug or chemical induced diabetes mellitus with neurological complications with diabetic autonomic (poly)neuropathy
    Billable
    Inclusion terms 1

    Inclusion terms

    • Drug or chemical induced diabetes mellitus with diabetic gastroparesis
  39. E09.44
    Drug or chemical induced diabetes mellitus with neurological complications with diabetic amyotrophy
    Billable
  40. E09.49
    Drug or chemical induced diabetes mellitus with neurological complications with other diabetic neurological complication
    Billable
  41. E09.5
    Drug or chemical induced diabetes mellitus with circulatory complications
    Header
  42. E09.51
    Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy without gangrene
    Billable
  43. E09.52
    Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene
    BillableCC
    Inclusion terms 1

    Inclusion terms

    • Drug or chemical induced diabetes mellitus with diabetic gangrene
  44. E09.59
    Drug or chemical induced diabetes mellitus with other circulatory complications
    Billable
  45. E09.6
    Drug or chemical induced diabetes mellitus with other specified complications
    Header
  46. E09.61
    Drug or chemical induced diabetes mellitus with diabetic arthropathy
    Header
  47. E09.610
    Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy
    Billable
    Inclusion terms 1

    Inclusion terms

    • Drug or chemical induced diabetes mellitus with Charcôt's joints
  48. E09.618
    Drug or chemical induced diabetes mellitus with other diabetic arthropathy
    Billable
  49. E09.62
    Drug or chemical induced diabetes mellitus with skin complications
    Header
  50. E09.620
    Drug or chemical induced diabetes mellitus with diabetic dermatitis
    Billable
    Inclusion terms 1

    Inclusion terms

    • Drug or chemical induced diabetes mellitus with diabetic necrobiosis lipoidica
  51. E09.621
    Drug or chemical induced diabetes mellitus with foot ulcer
    Billable
    Use additional code 1

    Use additional code

    • code to identify site of ulcer (L97.4-, L97.5-) L97.4 L97.5
  52. E09.622
    Drug or chemical induced diabetes mellitus with other skin ulcer
    Billable
    Use additional code 1

    Use additional code

  53. E09.628
    Drug or chemical induced diabetes mellitus with other skin complications
    Billable
  54. E09.63
    Drug or chemical induced diabetes mellitus with oral complications
    Header
  55. E09.630
    Drug or chemical induced diabetes mellitus with periodontal disease
    Billable
  56. E09.638
    Drug or chemical induced diabetes mellitus with other oral complications
    Billable
  57. E09.64
    Drug or chemical induced diabetes mellitus with hypoglycemia
    Header
    Use additional code 1

    Use additional code

    • code for hypoglycemia level, if applicable (E16.A-) E16.A
  58. E09.641
    Drug or chemical induced diabetes mellitus with hypoglycemia with coma
    BillableMCC
  59. E09.649
    Drug or chemical induced diabetes mellitus with hypoglycemia without coma
    Billable
  60. E09.65
    Drug or chemical induced diabetes mellitus with hyperglycemia
    Billable
  61. E09.69
    Drug or chemical induced diabetes mellitus with other specified complication
    Billable
    Use additional code 1

    Use additional code

    • code to identify complication
  62. E09.8
    Drug or chemical induced diabetes mellitus with unspecified complications
    Billable
  63. E09.9
    Drug or chemical induced diabetes mellitus without complications
    Billable

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.

Instructions

At E09

Excludes1

  • diabetes mellitus due to underlying condition (E08.-) E08
  • gestational diabetes (O24.4-) O24.4
  • neonatal diabetes mellitus (P70.2) P70.2
  • postpancreatectomy diabetes mellitus (E13.-) E13
  • postprocedural diabetes mellitus (E13.-) E13
  • secondary diabetes mellitus NEC (E13.-) E13
  • type 1 diabetes mellitus (E10.-) E10
  • type 2 diabetes mellitus (E11.-) E11

Code first

  • poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4) T36 T65

Use additional code

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) T36 T50
  • code to identify control using:
  • injectable non-insulin antidiabetic drugs (Z79.85) Z79.85
  • insulin (Z79.4) Z79.4
  • oral antidiabetic drugs (Z79.84) Z79.84
  • oral hypoglycemic drugs (Z79.84) Z79.84

Notes that also apply

Chapter 4 instructions (Notes 1, Excludes1 1): printed on the chapter 4 page.

7th characters

7th characters for E09.32 defined at E09.32

One of the following 7th characters is to be assigned to codes in subcategory E09.32 to designate laterality of the disease:

7th characters for E09.32
7thMeaning (NCHS)
1right eye
2left eye
3bilateral
9unspecified eye

7th characters for E09.33 defined at E09.33

One of the following 7th characters is to be assigned to codes in subcategory E09.33 to designate laterality of the disease:

7th characters for E09.33
7thMeaning (NCHS)
1right eye
2left eye
3bilateral
9unspecified eye

7th characters for E09.34 defined at E09.34

One of the following 7th characters is to be assigned to codes in subcategory E09.34 to designate laterality of the disease:

7th characters for E09.34
7thMeaning (NCHS)
1right eye
2left eye
3bilateral
9unspecified eye

7th characters for E09.35 defined at E09.35

One of the following 7th characters is to be assigned to codes in subcategory E09.35 to designate laterality of the disease:

7th characters for E09.35
7thMeaning (NCHS)
1right eye
2left eye
3bilateral
9unspecified eye

7th characters for E09.37 defined at E09.37

One of the following 7th characters is to be assigned to code E09.37 to designate laterality of the disease:

7th characters for E09.37
7thMeaning (NCHS)
1right eye
2left eye
3bilateral
9unspecified eye

A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.

Index entries

  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemical → E09.9
  • Steroideffects (adverse) (adrenocortical) (iatrogenic)diabetes → see category E09
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithhyperosmolarity → E09.00
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithketoacidosis → E09.10
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithglomerulonephrosis, intracapillary → E09.21
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithglomerulosclerosis, intercapillary → E09.21
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithKimmelstiel-Wilson disease → E09.21
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithnephropathy → E09.21
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithchronic kidney disease → E09.22
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithkidney complications NEC → E09.29
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithrenal complication NEC → E09.29
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithrenal tubular degeneration → E09.29
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithretinopathy → E09.319
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithcataract → E09.36
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithophthalmic complication NEC → E09.39
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithretinal, hemorrhage → E09.39
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithneuropathy → E09.40
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithmononeuropathy → E09.41
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithneuralgia → E09.42
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithpolyneuropathy → E09.42
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithautonomic (poly)neuropathy → E09.43
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithgastroparalysis → E09.43
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithgastroparesis → E09.43
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithamyotrophy → E09.44
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithmyasthenia → E09.44
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithneurologic complication NEC → E09.49
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithperipheral angiopathy → E09.51
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithgangrene → E09.52
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithcirculatory complication NEC → E09.59
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithCharcot's joints → E09.610
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithneuropathic arthropathy → E09.610
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwitharthropathy NEC → E09.618
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithdermatitis → E09.620
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithnecrobiosis lipoidica → E09.620
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithfoot ulcer → E09.621
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithskin ulcer NEC → E09.622
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithskin complication NEC → E09.628
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithperiodontal disease → E09.630
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithoral complication NEC → E09.638
  • Diabetes, diabetic (mellitus) (sugar)due to drug or chemicalwithhypoglycemia → E09.649

23 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy