ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 E09.610

Billable / Specific HCC v28: 18

Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy

E09
Block
1
Synonyms
439
LCDs
32
Payer Policies
45
Linked CPTs

About ICD-10-CM E09.610

ICD-10-CM code E09.610 represents Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E09). The 2026 edition of ICD-10-CM E09.610 became effective on October 1, 2025.

Coding Tips for E09.610

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

E09.610 is a CMS-HCC v28 risk-adjustment code (category 18). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under E09.610. Per CMS ICD-10-CM Tabular 2026.

  • Drug or chemical induced diabetes mellitus with Charcôt's joints

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 18
ESRD-HCC
Category 18
RxHCC (Part D)
Category 18

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Medicare LCD Coverage for E09.610

Local Coverage Determinations (LCDs) from CMS MACs that list E09.610 as a covered diagnosis.

439 LCDs

Showing top 10 of 439 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95909 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95887 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95912 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95999 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95910 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95870 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95860 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95913 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95869 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT G0255 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing E09.610.

32 policies

2 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP
Orthotic Devices and Shoes - (0543)
Policy ID: MM_0543

5 Medicare

Ankle-Foot/Knee-Ankle-Foot Orthoses - Policy Article
Policy ID: ART-52457
Glucose Monitor - Policy Article
Policy ID: ART-52464
Therapeutic Shoes for Persons with Diabetes - Policy Article
Policy ID: ART-52501
External Infusion Pumps - Policy Article
Policy ID: ART-52507
Billing and Coding: Routine Foot Care
Policy ID: ART-52996

CPT Codes Commonly Billed with E09.610

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

45 linkages
  • 95860 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95874 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95937 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • G0255 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95861 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95913 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95887 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95863 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95873 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95909 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD

Convert E09.610 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
E09.610 24960 10000
E09.610 24960 10111
E09.610 7135 10112

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To E09.610

Other codes in section E08-E13 (Diabetes mellitus).

E08 Diabetes mellitus due to underlying condition (non-billable) E08.0 Diabetes mellitus due to underlying condition with hyperosmolarity (non-billable) E08.00 Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E08.01 Diabetes mellitus due to underlying condition with hyperosmolarity with coma E08.1 Diabetes mellitus due to underlying condition with ketoacidosis (non-billable) E08.10 Diabetes mellitus due to underlying condition with ketoacidosis without coma E08.11 Diabetes mellitus due to underlying condition with ketoacidosis with coma E08.2 Diabetes mellitus due to underlying condition with kidney complications (non-billable) 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 (non-billable) E08.31 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy (non-billable) E08.311 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema E08.319 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular edema E08.32 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy (non-billable) E08.321 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema (non-billable) E08.329 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema (non-billable) E08.33 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy (non-billable) E08.331 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema (non-billable)

ICD-10 E09.610, Billing FAQ

Is ICD-10 code E09.610 billable? +

Yes, E09.610 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to E09.610? +

ICD-10 E09.610 includes: Drug or chemical induced diabetes mellitus with Charcôt's joints.

Does E09.610 affect Medicare Advantage HCC risk adjustment? +

Yes. E09.610 maps to CMS-HCC v28 category 18. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What CPT codes are commonly billed with E09.610? +

Procedures frequently paired with E09.610 include: 95860, 95874, 95937, G0255, 95861.

What ICD-9 codes does E09.610 map to? +

Per CMS GEMs, E09.610 maps to ICD-9 codes: 24960, 24960, 7135. Useful for legacy data review and historical claim analysis.

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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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