2019 ICD-10-CM Diagnosis Code E09.22

Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease

    2016 2017 2018 2019 Billable/Specific Code
  • E09.22 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Drug/chem diabetes w diabetic chronic kidney disease
  • The 2019 edition of ICD-10-CM E09.22 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of E09.22 - other international versions of ICD-10 E09.22 may differ.
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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 2019 Billable/Specific Code
    N18.1-
    ICD-10-CM Diagnosis Code N18.6

    End stage renal disease

      2016 2017 2018 2019 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
    2019 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 2019 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
  • Chronic kidney disease due to drug induced diabetes mellitus
  • Chronic kidney disease stage 1 due to drug induced diabetes
  • Chronic kidney disease stage 2 due to drug induced diabetes
  • Chronic kidney disease stage 3 due to drug induced diabetes
  • Chronic kidney disease stage 4 due to drug induced diabetes
  • Chronic kidney disease stage 5 due to drug induced diabetes
  • Chronic kidney disease with end stage renal disease on dialysis due to drug induced diabetes mellitus
  • Drug induced diabetes chronic kidney disease, dialysis
  • Drug induced diabetes with diabetic kidney disease
  • Drug induced diabetes with mild chronic kidney disease
  • Drug induced diabetes, moderate chronic kidney disease
  • Drug induced diabetes, severe chronic kidney disease
ICD-10-CM E09.22 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 008 Simultaneous pancreas and kidney transplant
  • 010 Pancreas transplant
  • 698 Other kidney and urinary tract diagnoses with mcc
  • 699 Other kidney and urinary tract diagnoses with cc
  • 700 Other kidney and urinary tract diagnoses without cc/mcc

Convert E09.22 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to E09.22:
  • Code First: N18
    ICD-10-CM Diagnosis Code N18

    Chronic kidney disease (CKD)

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Code First
    Use Additional
    • code to identify kidney transplant status, if applicable, (Z94.0)

Diagnosis Index entries containing back-references to E09.22:
  • Diabetes, diabetic (mellitus) (sugar) E11.9
    ICD-10-CM Diagnosis Code E11.9

    Type 2 diabetes mellitus without complications

      2016 2017 2018 2019 Billable/Specific Code Questionable As Admission Dx
    • due to drug or chemical E09.9
      ICD-10-CM Diagnosis Code E09.9

      Drug or chemical induced diabetes mellitus without complications

        2016 2017 2018 2019 Billable/Specific Code
      • with
        • chronic kidney disease 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.