ICD-10 · PDGM grouping
E09 Drug or chemical induced diabetes mellitus
All 86 codes in the E09 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.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
86
Can lead a claim
85
Cannot lead a claim
1
What CMS assigns to E09
85 of the 86 codes group to MMTA - Endocrine (82) and Wound (3); 1 is assigned no clinical group. Comorbidity subgroups: 56 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; 14 are assigned none. 85 of the 86 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 13, on all 86 codes. Code first:
- poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
Every code in E09
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 |
|---|---|---|---|---|
| E09.0 Drug or chemical induced diabetes mellitus with hyperosmolarity | ||||
| E09.00 | Drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)CMS: Drug/chem diab w hyprosm w/o nonket hyprgly-hypros coma | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.01 | Drug or chemical induced diabetes mellitus with hyperosmolarity with comaCMS: Drug/chem diabetes mellitus w hyperosmolarity w coma | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.1 Drug or chemical induced diabetes mellitus with ketoacidosis | ||||
| E09.10 | Drug or chemical induced diabetes mellitus with ketoacidosis without comaCMS: Drug/chem diabetes mellitus w ketoacidosis w/o coma | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.11 | Drug or chemical induced diabetes mellitus with ketoacidosis with comaCMS: Drug/chem diabetes mellitus w ketoacidosis w coma | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.2 Drug or chemical induced diabetes mellitus with kidney complications | ||||
| E09.21 | Drug or chemical induced diabetes mellitus with diabetic nephropathyCMS: Drug/chem diabetes mellitus w diabetic nephropathy | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.22 | Drug or chemical induced diabetes mellitus with diabetic chronic kidney diseaseCMS: Drug/chem diabetes w diabetic chronic kidney disease | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.29 | Drug or chemical induced diabetes mellitus with other diabetic kidney complicationCMS: Drug/chem diabetes w oth diabetic kidney complication | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3 Drug or chemical induced diabetes mellitus with ophthalmic complications | ||||
| E09.31 Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy | ||||
| E09.311 | Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy with macular edemaCMS: Drug/chem diabetes w unsp diabetic rtnop w macular edema | Can lead a claim, code first applies | I | Disease of the Macula and Blindness/Low Vision |
| E09.319 | Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy without macular edemaCMS: Drug/chem diabetes w unsp diabetic rtnop w/o macular edema | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.32 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy | ||||
| E09.321 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema | ||||
| E09.3211 | Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eyeCMS: Drug/chem diab with mild nonp rtnop with mclr edema, r eye | Can lead a claim, code first applies | I | Disease of the Macula and Blindness/Low Vision |
| E09.3212 | Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eyeCMS: Drug/chem diab with mild nonp rtnop with mclr edema, l eye | Can lead a claim, code first applies | I | Disease of the Macula and Blindness/Low Vision |
| E09.3213 | Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateralCMS: Drug/chem diab with mild nonp rtnop with macular edema, bi | Can lead a claim, code first applies | I | Disease of the Macula and Blindness/Low Vision |
| E09.3219 | Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eyeCMS: Drug/chem diab with mild nonp rtnop with macular edema, unsp | Can lead a claim, code first applies | I | None |
| E09.329 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema | ||||
| E09.3291 | Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eyeCMS: Drug/chem diab with mild nonp rtnop w/o mclr edema, r eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3292 | Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eyeCMS: Drug/chem diab with mild nonp rtnop w/o mclr edema, l eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3293 | Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateralCMS: Drug/chem diab with mild nonp rtnop without mclr edema, bi | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3299 | Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eyeCMS: Drug/chem diab with mild nonp rtnop without mclr edema, unsp | Can lead a claim, code first applies | I | None |
| E09.33 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy | ||||
| E09.331 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema | ||||
| E09.3311 | Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eyeCMS: Drug/chem diab with mod nonp rtnop with macular edema, r eye | Can lead a claim, code first applies | I | Disease of the Macula and Blindness/Low Vision |
| E09.3312 | Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eyeCMS: Drug/chem diab with mod nonp rtnop with macular edema, l eye | Can lead a claim, code first applies | I | Disease of the Macula and Blindness/Low Vision |
| E09.3313 | Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateralCMS: Drug/chem diab with mod nonp rtnop with macular edema, bi | Can lead a claim, code first applies | I | Disease of the Macula and Blindness/Low Vision |
| E09.3319 | Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eyeCMS: Drug/chem diab with mod nonp rtnop with macular edema, unsp | Can lead a claim, code first applies | I | None |
| E09.339 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema | ||||
| E09.3391 | Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eyeCMS: Drug/chem diab with mod nonp rtnop without mclr edema, r eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3392 | Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eyeCMS: Drug/chem diab with mod nonp rtnop without mclr edema, l eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3393 | Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateralCMS: Drug/chem diab with mod nonp rtnop without macular edema, bi | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3399 | Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eyeCMS: Drug/chem diab with mod nonp rtnop without mclr edema, unsp | Can lead a claim, code first applies | I | None |
| E09.34 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy | ||||
| E09.341 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema | ||||
| E09.3411 | Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eyeCMS: Drug/chem diab with severe nonp rtnop with mclr edema, r eye | Can lead a claim, code first applies | I | Disease of the Macula and Blindness/Low Vision |
| E09.3412 | Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eyeCMS: Drug/chem diab with severe nonp rtnop with mclr edema, l eye | Can lead a claim, code first applies | I | Disease of the Macula and Blindness/Low Vision |
| E09.3413 | Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateralCMS: Drug/chem diab with severe nonp rtnop with macular edema, bi | Can lead a claim, code first applies | I | Disease of the Macula and Blindness/Low Vision |
| E09.3419 | Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eyeCMS: Drug/chem diab with severe nonp rtnop with mclr edema, unsp | Can lead a claim, code first applies | I | None |
| E09.349 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema | ||||
| E09.3491 | Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eyeCMS: Drug/chem diab with severe nonp rtnop w/o mclr edema, r eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3492 | Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eyeCMS: Drug/chem diab with severe nonp rtnop w/o mclr edema, l eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3493 | Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateralCMS: Drug/chem diab with severe nonp rtnop without mclr edema, bi | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3499 | Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eyeCMS: Drug/chem diab with severe nonp rtnop w/o mclr edema, unsp | Can lead a claim, code first applies | I | None |
| E09.35 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy | ||||
| E09.351 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema | ||||
| E09.3511 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eyeCMS: Drug/chem diab with prolif diab rtnop with mclr edema, r eye | Can lead a claim, code first applies | I | Disease of the Macula and Blindness/Low Vision |
| E09.3512 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eyeCMS: Drug/chem diab with prolif diab rtnop with mclr edema, l eye | Can lead a claim, code first applies | I | Disease of the Macula and Blindness/Low Vision |
| E09.3513 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateralCMS: Drug/chem diab with prolif diab rtnop with macular edema, bi | Can lead a claim, code first applies | I | Disease of the Macula and Blindness/Low Vision |
| E09.3519 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eyeCMS: Drug/chem diab with prolif diab rtnop with mclr edema, unsp | Can lead a claim, code first applies | I | None |
| E09.352 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula | ||||
| E09.3521 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eyeCMS: Drug/chem diab w prolif diab rtnop w trctn dtch macula,r eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3522 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eyeCMS: Drug/chem diab w prolif diab rtnop w trctn dtch macula,l eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3523 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateralCMS: Drug/chem diab w prolif diab rtnop w trctn dtch macula, bi | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3529 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eyeCMS: Drug/chem diab w prolif diab rtnop w trctn dtch macula, unsp | Can lead a claim, code first applies | I | None |
| E09.353 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula | ||||
| E09.3531 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eyeCMS: Drug/chem diab w prolif diab rtnop w trctn dtch n-mcla,r eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3532 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eyeCMS: Drug/chem diab w prolif diab rtnop w trctn dtch n-mcla,l eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3533 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateralCMS: Drug/chem diab w prolif diab rtnop w trctn dtch n-mcla, bi | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3539 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eyeCMS: Drug/chem diab w prolif diab rtnop w trctn dtch n-mcla, unsp | Can lead a claim, code first applies | I | None |
| E09.354 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment | ||||
| E09.3541 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eyeCMS: Drug/chem diab w prolif diab rtnop with comb detach, r eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3542 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eyeCMS: Drug/chem diab w prolif diab rtnop with comb detach, l eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3543 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateralCMS: Drug/chem diab with prolif diab rtnop with comb detach, bi | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3549 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eyeCMS: Drug/chem diab with prolif diab rtnop with comb detach, unsp | Can lead a claim, code first applies | I | None |
| E09.355 Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy | ||||
| E09.3551 | Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, right eyeCMS: Drug/chem diabetes with stable prolif diabetic rtnop, r eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3552 | Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, left eyeCMS: Drug/chem diab with stable prolif diabetic rtnop, left eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3553 | Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, bilateralCMS: Drug/chem diabetes with stable prolif diabetic rtnop, bi | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3559 | Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eyeCMS: Drug/chem diabetes with stable prolif diabetic rtnop, unsp | Can lead a claim, code first applies | I | None |
| E09.359 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema | ||||
| E09.3591 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eyeCMS: Drug/chem diab with prolif diab rtnop w/o mclr edema, r eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3592 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eyeCMS: Drug/chem diab with prolif diab rtnop w/o mclr edema, l eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3593 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateralCMS: Drug/chem diab with prolif diab rtnop without mclr edema, bi | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.3599 | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eyeCMS: Drug/chem diab with prolif diab rtnop w/o mclr edema, unsp | Can lead a claim, code first applies | I | None |
| E09.36 | Drug or chemical induced diabetes mellitus with diabetic cataractCMS: Drug/chem diabetes mellitus w diabetic cataract | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.37 Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment | ||||
| E09.37X1 | Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, right eyeCMS: Drug/chem diab w diab mclr edma, resolved fol trtmt, r eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.37X2 | Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, left eyeCMS: Drug/chem diab w diab mclr edma, resolved fol trtmt, l eye | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.37X3 | Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, bilateralCMS: Drug/chem diab with diab mclr edema, resolved fol trtmt, bi | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.37X9 | Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eyeCMS: Drug/chem diab with diab mclr edma, resolved fol trtmt, unsp | Can lead a claim, code first applies | I | None |
| E09.39 | Drug or chemical induced diabetes mellitus with other diabetic ophthalmic complicationCMS: Drug/chem diabetes w oth diabetic ophthalmic complication | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.4 Drug or chemical induced diabetes mellitus with neurological complications | ||||
| E09.40 | Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecifiedCMS: Drug/chem diabetes w neuro comp w diabetic neuropathy, unsp | Can lead a claim, code first applies | I | Diabetes with neuropathy |
| E09.41 | Drug or chemical induced diabetes mellitus with neurological complications with diabetic mononeuropathyCMS: Drug/chem diabetes w neuro comp w diabetic mononeuropathy | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.42 | Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathyCMS: Drug/chem diabetes w neurological comp w diabetic polyneurop | Can lead a claim, code first applies | I | Diabetes with neuropathy |
| E09.43 | Drug or chemical induced diabetes mellitus with neurological complications with diabetic autonomic (poly)neuropathyCMS: Drug/chem diab w neuro comp w diab autonm (poly)neuropathy | Can lead a claim, code first applies | I | Diabetes with neuropathy |
| E09.44 | Drug or chemical induced diabetes mellitus with neurological complications with diabetic amyotrophyCMS: Drug/chem diabetes w neurological comp w diabetic amyotrophy | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.49 | Drug or chemical induced diabetes mellitus with neurological complications with other diabetic neurological complicationCMS: Drug/chem diabetes w neuro comp w oth diabetic neuro comp | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.5 Drug or chemical induced diabetes mellitus with circulatory complications | ||||
| E09.51 | Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy without gangreneCMS: Drug/chem diabetes w diabetic prph angiopath w/o gangrene | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.52 | Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangreneCMS: Drug/chem diabetes w diabetic prph angiopath w gangrene | Can lead a claim, code first applies | C | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.59 | Drug or chemical induced diabetes mellitus with other circulatory complicationsCMS: Drug/chem diabetes mellitus w oth circulatory complications | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.6 Drug or chemical induced diabetes mellitus with other specified complications | ||||
| E09.61 Drug or chemical induced diabetes mellitus with diabetic arthropathy | ||||
| E09.610 | Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathyCMS: Drug/chem diabetes w diabetic neuropathic arthropathy | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.618 | Drug or chemical induced diabetes mellitus with other diabetic arthropathyCMS: Drug/chem diabetes mellitus w oth diabetic arthropathy | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.62 Drug or chemical induced diabetes mellitus with skin complications | ||||
| E09.620 | Drug or chemical induced diabetes mellitus with diabetic dermatitisCMS: Drug/chem diabetes mellitus w diabetic dermatitis | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.621 | Drug or chemical induced diabetes mellitus with foot ulcer | Can lead a claim, code first applies | C | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.622 | Drug or chemical induced diabetes mellitus with other skin ulcerCMS: Drug or chemical induced diabetes mellitus w oth skin ulcer | Can lead a claim, code first applies | C | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.628 | Drug or chemical induced diabetes mellitus with other skin complicationsCMS: Drug/chem diabetes mellitus w oth skin complications | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.63 Drug or chemical induced diabetes mellitus with oral complications | ||||
| E09.630 | Drug or chemical induced diabetes mellitus with periodontal diseaseCMS: Drug/chem diabetes mellitus w periodontal disease | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.638 | Drug or chemical induced diabetes mellitus with other oral complicationsCMS: Drug/chem diabetes mellitus w oth oral complications | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.64 Drug or chemical induced diabetes mellitus with hypoglycemia | ||||
| E09.641 | Drug or chemical induced diabetes mellitus with hypoglycemia with comaCMS: Drug/chem diabetes mellitus w hypoglycemia w coma | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.649 | Drug or chemical induced diabetes mellitus with hypoglycemia without comaCMS: Drug/chem diabetes mellitus w hypoglycemia w/o coma | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.65 | Drug or chemical induced diabetes mellitus with hyperglycemiaCMS: Drug or chemical induced diabetes mellitus w hyperglycemia | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.69 | Drug or chemical induced diabetes mellitus with other specified complicationCMS: Drug/chem diabetes mellitus w oth complication | Can lead a claim, code first applies | I | Diabetes due to a Known Underlying Condition and Diabetes effect on the Eye |
| E09.8 | Drug or chemical induced diabetes mellitus with unspecified complicationsCMS: Drug/chem diabetes mellitus w unsp complications | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| E09.9 | Drug or chemical induced diabetes mellitus without complicationsCMS: Drug or chemical induced diabetes mellitus w/o complications | Can lead a claim, code first applies | I | 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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