2017/18 ICD-10-CM Diagnosis Code E09.22

Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease

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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 E09.22 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 E09.22:
  • 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
  • E09
    ICD-10-CM Diagnosis Code E09

    Drug or chemical induced diabetes mellitus

      2016 2017 2018 Non-Billable/Non-Specific Code
    Code First
    • poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4 or 6)
    Type 1 Excludes
    • diabetes mellitus due to underlying condition (E08.-)
    • 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 for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
    Drug or chemical induced diabetes mellitus
Approximate Synonyms ICD-10-CM E09.22 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

Convert E09.22 to ICD-9-CM

Code History
Code annotations containing back-references to E09.22:

Diagnosis Index entries containing back-references to E09.22:

ICD-10-CM Codes Adjacent To E09.22
E08.9 Diabetes mellitus due to underlying condition without complications
E09 Drug or chemical induced diabetes mellitus
E09.0 Drug or chemical induced diabetes mellitus with hyperosmolarity
E09.00 …… without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E09.01 …… with coma
E09.1 Drug or chemical induced diabetes mellitus with ketoacidosis
E09.10 …… without coma
E09.11 …… with coma
E09.2 Drug or chemical induced diabetes mellitus with kidney complications
E09.21 Drug or chemical induced diabetes mellitus with diabetic nephropathy
E09.22 Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease
E09.29 Drug or chemical induced diabetes mellitus with other diabetic kidney complication
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 …… with macular edema
E09.319 …… without macular edema
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 …… right eye
E09.3212 …… left eye
E09.3213 …… bilateral

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