ICD-10 · PDGM grouping
E08 Diabetes mellitus due to underlying condition
All 86 codes in the E08 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
86
Can lead a claim
0
Cannot lead a claim
86
What CMS assigns to E08
None of the 86 codes is assigned a clinical group. Comorbidity subgroups: 55 toward Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye; 13 toward Disease of the Macula and Blindness/Low Vision; 3 toward Diabetes with neuropathy; 15 are assigned none. None can lead a claim. CMS attaches a code-first note to all 86.
- Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye
- Disease of the Macula and Blindness/Low Vision
- Diabetes with neuropathy: can award the low comorbidity tier as a secondary diagnosis.
Code first
CMS grouper convention 20, on all 86 codes. Code first:
- Cushing's syndrome (E24.-)
- congenital rubella (P35.0)
- cystic fibrosis (E84.-)
- malignant neoplasm (C00-C96)
- malnutrition (E40-E46)
- pancreatitis and other diseases of the pancreas (K85-K86.-)
- the underlying condition, such as:
Every code in E08
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| E08.0 Diabetes mellitus due to underlying condition with hyperosmolarity | ||||
| E08.00 | Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)CMS: Diab d/t undrl cond w hyprosm w/o nonket hyprgly-hypros coma | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.01 | Diabetes mellitus due to underlying condition with hyperosmolarity with comaCMS: Diabetes due to underlying condition w hyprosm w coma | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.1 Diabetes mellitus due to underlying condition with ketoacidosis | ||||
| E08.10 | Diabetes mellitus due to underlying condition with ketoacidosis without comaCMS: Diabetes due to underlying condition w ketoacidosis w/o coma | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.11 | Diabetes mellitus due to underlying condition with ketoacidosis with comaCMS: Diabetes due to underlying condition w ketoacidosis w coma | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.2 Diabetes mellitus due to underlying condition with kidney complications | ||||
| E08.21 | Diabetes mellitus due to underlying condition with diabetic nephropathyCMS: Diabetes due to underlying condition w diabetic nephropathy | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.22 | Diabetes mellitus due to underlying condition with diabetic chronic kidney diseaseCMS: Diabetes due to undrl cond w diabetic chronic kidney disease | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.29 | Diabetes mellitus due to underlying condition with other diabetic kidney complicationCMS: Diabetes due to undrl condition w oth diabetic kidney comp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | None |
| E08.3 Diabetes mellitus due to underlying condition with ophthalmic complications | ||||
| E08.31 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy | ||||
| E08.311 | Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edemaCMS: Diab due to undrl cond w unsp diabetic rtnop w macular edema | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Disease of the Macula and Blindness/Low Vision |
| E08.319 | Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular edemaCMS: Diab due to undrl cond w unsp diab rtnop w/o macular edema | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.32 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy | ||||
| E08.321 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema | ||||
| E08.3211 | Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, right eyeCMS: Diabetes with mild nonp rtnop with macular edema, right eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Disease of the Macula and Blindness/Low Vision |
| E08.3212 | Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, left eyeCMS: Diabetes with mild nonp rtnop with macular edema, left eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Disease of the Macula and Blindness/Low Vision |
| E08.3213 | Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, bilateralCMS: Diabetes with mild nonp rtnop with macular edema, bilateral | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Disease of the Macula and Blindness/Low Vision |
| E08.3219 | Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, unspecified eyeCMS: Diabetes with mild nonp rtnop with macular edema, unsp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | None |
| E08.329 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema | ||||
| E08.3291 | Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, right eyeCMS: Diabetes with mild nonp rtnop without macular edema, r eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3292 | Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, left eyeCMS: Diab with mild nonp rtnop without macular edema, left eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3293 | Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, bilateralCMS: Diabetes with mild nonp rtnop without macular edema, bi | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3299 | Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, unspecified eyeCMS: Diabetes with mild nonp rtnop without macular edema, unsp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | None |
| E08.33 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy | ||||
| E08.331 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema | ||||
| E08.3311 | Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, right eyeCMS: Diabetes with moderate nonp rtnop with macular edema, r eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Disease of the Macula and Blindness/Low Vision |
| E08.3312 | Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, left eyeCMS: Diab with moderate nonp rtnop with macular edema, left eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Disease of the Macula and Blindness/Low Vision |
| E08.3313 | Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, bilateralCMS: Diabetes with moderate nonp rtnop with macular edema, bi | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Disease of the Macula and Blindness/Low Vision |
| E08.3319 | Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eyeCMS: Diabetes with moderate nonp rtnop with macular edema, unsp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | None |
| E08.339 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema | ||||
| E08.3391 | Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, right eyeCMS: Diab with moderate nonp rtnop without macular edema, r eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3392 | Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, left eyeCMS: Diab with moderate nonp rtnop without macular edema, l eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3393 | Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, bilateralCMS: Diabetes with moderate nonp rtnop without macular edema, bi | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3399 | Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eyeCMS: Diab with moderate nonp rtnop without macular edema, unsp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | None |
| E08.34 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy | ||||
| E08.341 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema | ||||
| E08.3411 | Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, right eyeCMS: Diabetes with severe nonp rtnop with macular edema, r eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Disease of the Macula and Blindness/Low Vision |
| E08.3412 | Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, left eyeCMS: Diabetes with severe nonp rtnop with macular edema, left eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Disease of the Macula and Blindness/Low Vision |
| E08.3413 | Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, bilateralCMS: Diabetes with severe nonp rtnop with macular edema, bi | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Disease of the Macula and Blindness/Low Vision |
| E08.3419 | Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, unspecified eyeCMS: Diabetes with severe nonp rtnop with macular edema, unsp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | None |
| E08.349 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema | ||||
| E08.3491 | Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, right eyeCMS: Diabetes with severe nonp rtnop without macular edema, r eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3492 | Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, left eyeCMS: Diab with severe nonp rtnop without macular edema, left eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3493 | Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, bilateralCMS: Diabetes with severe nonp rtnop without macular edema, bi | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3499 | Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, unspecified eyeCMS: Diabetes with severe nonp rtnop without macular edema, unsp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | None |
| E08.35 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy | ||||
| E08.351 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema | ||||
| E08.3511 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, right eyeCMS: Diab with prolif diabetic rtnop with macular edema, r eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Disease of the Macula and Blindness/Low Vision |
| E08.3512 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, left eyeCMS: Diab with prolif diabetic rtnop with macular edema, left eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Disease of the Macula and Blindness/Low Vision |
| E08.3513 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, bilateralCMS: Diabetes with prolif diabetic rtnop with macular edema, bi | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Disease of the Macula and Blindness/Low Vision |
| E08.3519 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, unspecified eyeCMS: Diabetes with prolif diabetic rtnop with macular edema, unsp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | None |
| E08.352 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula | ||||
| E08.3521 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eyeCMS: Diab with prolif diab rtnop with trctn dtch macula, r eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3522 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eyeCMS: Diab with prolif diab rtnop with trctn dtch macula, left eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3523 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateralCMS: Diab with prolif diabetic rtnop with trctn dtch macula, bi | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3529 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eyeCMS: Diab with prolif diabetic rtnop with trctn dtch macula, unsp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | None |
| E08.353 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula | ||||
| E08.3531 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eyeCMS: Diab with prolif diab rtnop with trctn dtch n-mcla, r eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3532 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eyeCMS: Diab with prolif diab rtnop with trctn dtch n-mcla, left eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3533 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateralCMS: Diab with prolif diabetic rtnop with trctn dtch n-mcla, bi | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3539 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eyeCMS: Diab with prolif diabetic rtnop with trctn dtch n-mcla, unsp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | None |
| E08.354 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment | ||||
| E08.3541 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eyeCMS: Diabetes with prolif diabetic rtnop with comb detach, r eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3542 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eyeCMS: Diab with prolif diabetic rtnop with comb detach, left eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3543 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateralCMS: Diabetes with prolif diabetic rtnop with combined detach, bi | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3549 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eyeCMS: Diabetes with prolif diabetic rtnop with comb detach, unsp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | None |
| E08.355 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy | ||||
| E08.3551 | Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, right eyeCMS: Diabetes with stable prolif diabetic retinopathy, right eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3552 | Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, left eyeCMS: Diabetes with stable prolif diabetic retinopathy, left eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3553 | Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, bilateralCMS: Diabetes with stable prolif diabetic retinopathy, bilateral | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3559 | Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, unspecified eyeCMS: Diabetes with stable prolif diabetic retinopathy, unsp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | None |
| E08.359 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema | ||||
| E08.3591 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, right eyeCMS: Diab with prolif diabetic rtnop without macular edema, r eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3592 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, left eyeCMS: Diab with prolif diab rtnop without macular edema, left eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3593 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, bilateralCMS: Diab with prolif diabetic rtnop without macular edema, bi | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.3599 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, unspecified eyeCMS: Diab with prolif diabetic rtnop without macular edema, unsp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | None |
| E08.36 | Diabetes mellitus due to underlying condition with diabetic cataractCMS: Diabetes due to underlying condition w diabetic cataract | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.37 Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment | ||||
| E08.37X1 | Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, right eyeCMS: Diab with diabetic macular edema, resolved fol trtmt, r eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.37X2 | Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, left eyeCMS: Diab with diab macular edema, resolved fol trtmt, left eye | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.37X3 | Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, bilateralCMS: Diabetes with diabetic macular edema, resolved fol trtmt, bi | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.37X9 | Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, unspecified eyeCMS: Diab with diabetic macular edema, resolved fol trtmt, unsp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | None |
| E08.39 | Diabetes mellitus due to underlying condition with other diabetic ophthalmic complicationCMS: Diabetes due to undrl condition w oth diabetic opth comp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.4 Diabetes mellitus due to underlying condition with neurological complications | ||||
| E08.40 | Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecifiedCMS: Diabetes due to underlying condition w diabetic neurop, unsp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes with neuropathy |
| E08.41 | Diabetes mellitus due to underlying condition with diabetic mononeuropathyCMS: Diabetes due to undrl condition w diabetic mononeuropathy | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.42 | Diabetes mellitus due to underlying condition with diabetic polyneuropathyCMS: Diabetes due to underlying condition w diabetic polyneurop | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes with neuropathy |
| E08.43 | Diabetes mellitus due to underlying condition with diabetic autonomic (poly)neuropathyCMS: Diab due to undrl cond w diabetic autonm (poly)neuropathy | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes with neuropathy |
| E08.44 | Diabetes mellitus due to underlying condition with diabetic amyotrophyCMS: Diabetes due to underlying condition w diabetic amyotrophy | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.49 | Diabetes mellitus due to underlying condition with other diabetic neurological complicationCMS: Diabetes due to undrl condition w oth diabetic neuro comp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.5 Diabetes mellitus due to underlying condition with circulatory complications | ||||
| E08.51 | Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangreneCMS: Diab due to undrl cond w diab prph angiopath w/o gangrene | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.52 | Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangreneCMS: Diab due to undrl cond w diabetic prph angiopath w gangrene | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.59 | Diabetes mellitus due to underlying condition with other circulatory complicationsCMS: Diabetes due to underlying condition w oth circulatory comp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.6 Diabetes mellitus due to underlying condition with other specified complications | ||||
| E08.61 Diabetes mellitus due to underlying condition with diabetic arthropathy | ||||
| E08.610 | Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathyCMS: Diabetes due to undrl cond w diabetic neuropathic arthrop | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.618 | Diabetes mellitus due to underlying condition with other diabetic arthropathyCMS: Diabetes due to underlying condition w oth diabetic arthrop | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.62 Diabetes mellitus due to underlying condition with skin complications | ||||
| E08.620 | Diabetes mellitus due to underlying condition with diabetic dermatitisCMS: Diabetes due to underlying condition w diabetic dermatitis | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.621 | Diabetes mellitus due to underlying condition with foot ulcerCMS: Diabetes mellitus due to underlying condition w foot ulcer | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.622 | Diabetes mellitus due to underlying condition with other skin ulcerCMS: Diabetes due to underlying condition w oth skin ulcer | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.628 | Diabetes mellitus due to underlying condition with other skin complicationsCMS: Diabetes due to underlying condition w oth skin comp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.63 Diabetes mellitus due to underlying condition with oral complications | ||||
| E08.630 | Diabetes mellitus due to underlying condition with periodontal diseaseCMS: Diabetes due to underlying condition w periodontal disease | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.638 | Diabetes mellitus due to underlying condition with other oral complicationsCMS: Diabetes due to underlying condition w oth oral comp | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.64 Diabetes mellitus due to underlying condition with hypoglycemia | ||||
| E08.641 | Diabetes mellitus due to underlying condition with hypoglycemia with comaCMS: Diabetes due to underlying condition w hypoglycemia w coma | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.649 | Diabetes mellitus due to underlying condition with hypoglycemia without comaCMS: Diabetes due to underlying condition w hypoglycemia w/o coma | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.65 | Diabetes mellitus due to underlying condition with hyperglycemiaCMS: Diabetes due to underlying condition w hyperglycemia | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.69 | Diabetes mellitus due to underlying condition with other specified complicationCMS: Diabetes due to underlying condition w oth complication | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E08.8 | Diabetes mellitus due to underlying condition with unspecified complicationsCMS: Diabetes due to underlying condition w unsp complications | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | None |
| E08.9 | Diabetes mellitus due to underlying condition without complicationsCMS: Diabetes due to underlying condition w/o complications | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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