ICD-10 E09
Non-Billable HeaderDrug or chemical induced diabetes mellitus
About ICD-10-CM E09
ICD-10-CM code E09 represents Drug or chemical induced diabetes mellitus. This is a non-billable header code in the Endocrine, Nutritional, and Metabolic chapter (block E09). The 2026 edition of ICD-10-CM E09 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with E09. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- 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
When coding E09, also report these additional codes when applicable.
- code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Coding Notes
Code First
- poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
Medicare LCD Coverage for E09
Local Coverage Determinations (LCDs) from CMS MACs that list E09 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing E09.
3 Cigna
CPT Codes Commonly Billed with E09
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To E09
Other codes in section E08-E13 (Diabetes mellitus).
ICD-10 E09, Billing FAQ
Is ICD-10 code E09 billable? +
No, E09 is a non-billable header code. Use a more specific child code from block E09 when submitting claims.
What codes are Type 1 Excludes for E09? +
Type 1 Excludes (never code together with E09): diabetes mellitus due to underlying condition (E08.-); gestational diabetes (O24.4-); neonatal diabetes mellitus (P70.2)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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