2017/18 ICD-10-CM Diagnosis Code E08.22

Diabetes mellitus due to underlying condition with diabetic chronic kidney disease

ICD-10-CM Coding Rules
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Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify stage of chronic kidney disease (
    ICD-10-CM Diagnosis Code N18.1

    Chronic kidney disease, stage 1

      2016 2017 2018 Billable/Specific Code
    N18.1-
    ICD-10-CM Diagnosis Code N18.6

    End stage renal disease

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Chronic kidney disease requiring chronic dialysis
    Use Additional
    • code to identify dialysis status (Z99.2)
    N18.6
    )
The following code(s) above E08.22 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to E08.22:
  • E00-E89
    2018 ICD-10-CM Range E00-E89

    Endocrine, nutritional and metabolic diseases

    Note
    • All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.
    Type 1 Excludes
    • transitory endocrine and metabolic disorders specific to newborn (P70-P74)
    Endocrine, nutritional and metabolic diseases
  • E08
    ICD-10-CM Diagnosis Code E08

    Diabetes mellitus due to underlying condition

      2016 2017 2018 Non-Billable/Non-Specific Code
    Code First
    • the underlying condition, such as:
    • congenital rubella (P35.0)
    • Cushing's syndrome (E24.-)
    • cystic fibrosis (E84.-)
    • malignant neoplasm (C00-C96)
    • malnutrition (E40-E46)
    • pancreatitis and other diseases of the pancreas (K85-K86.-)
    Type 1 Excludes
    • drug or chemical induced diabetes mellitus (E09.-)
    • gestational diabetes (O24.4-)
    • neonatal diabetes mellitus (P70.2)
    • postpancreatectomy diabetes mellitus (E13.-)
    • postprocedural diabetes mellitus (E13.-)
    • secondary diabetes mellitus NEC (E13.-)
    • type 1 diabetes mellitus (E10.-)
    • type 2 diabetes mellitus (E11.-)
    Use Additional
    • code to identify control using:
    • insulin (Z79.4)
    • oral antidiabetic drugs (Z79.84)
    • oral hypoglycemic drugs (Z79.84)
    Diabetes mellitus due to underlying condition
ICD-10-CM E08.22 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

Convert E08.22 to ICD-9-CM

Code History
Code annotations containing back-references to E08.22:

Diagnosis Index entries containing back-references to E08.22:

ICD-10-CM Codes Adjacent To E08.22
E07.9 Disorder of thyroid, unspecified
E08 Diabetes mellitus due to underlying condition
E08.0 Diabetes mellitus due to underlying condition with hyperosmolarity
E08.00 …… without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E08.01 …… with coma
E08.1 Diabetes mellitus due to underlying condition with ketoacidosis
E08.10 …… without coma
E08.11 …… with coma
E08.2 Diabetes mellitus due to underlying condition with kidney complications
E08.21 Diabetes mellitus due to underlying condition with diabetic nephropathy
E08.22 Diabetes mellitus due to underlying condition with diabetic chronic kidney disease
E08.29 Diabetes mellitus due to underlying condition with other diabetic kidney complication
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 …… with macular edema
E08.319 …… without macular edema
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 …… right eye
E08.3212 …… left eye
E08.3213 …… bilateral

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.