E08 - Diabetes mellitus due to underlying condition

Version 2022
ICD-10:E08
Short Description:Diabetes mellitus due to underlying condition
Long Description:Diabetes mellitus due to underlying condition
Status: Not Valid for Submission
Version:ICD-10-CM 2022
Code Classification:
  • Endocrine, nutritional and metabolic diseases (E00–E90)
    • Diabetes mellitus (E08-E13)
      • Diabetes mellitus due to underlying condition (E08)

E08 is a non-specific and non-billable ICD-10 code code, consider using a code with a higher level of specificity for a diagnosis of diabetes mellitus due to underlying condition. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Coding Guidelines

The diabetes mellitus codes are combination codes that include the type of diabetes mellitus, the body system affected, and the complications affecting that body system. As many codes within a particular category as are necessary to describe all of the complications of the disease may be used. They should be sequenced based on the reason for a particular encounter. Assign as many codes from categories E08 - E13 as needed to identify all of the associated conditions that the patient has.

Specific Coding for Diabetes mellitus due to underlying condition

Non-specific codes like E08 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for diabetes mellitus due to underlying condition:

  • NON-BILLABLE CODE - E08.0 for Diabetes mellitus due to underlying condition with hyperosmolarity
  • BILLABLE CODE - Use E08.00 for Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
  • BILLABLE CODE - Use E08.01 for Diabetes mellitus due to underlying condition with hyperosmolarity with coma
  • NON-BILLABLE CODE - E08.1 for Diabetes mellitus due to underlying condition with ketoacidosis
  • BILLABLE CODE - Use E08.10 for Diabetes mellitus due to underlying condition with ketoacidosis without coma
  • BILLABLE CODE - Use E08.11 for Diabetes mellitus due to underlying condition with ketoacidosis with coma
  • NON-BILLABLE CODE - E08.2 for Diabetes mellitus due to underlying condition with kidney complications
  • BILLABLE CODE - Use E08.21 for Diabetes mellitus due to underlying condition with diabetic nephropathy
  • BILLABLE CODE - Use E08.22 for Diabetes mellitus due to underlying condition with diabetic chronic kidney disease
  • BILLABLE CODE - Use E08.29 for Diabetes mellitus due to underlying condition with other diabetic kidney complication
  • NON-BILLABLE CODE - E08.3 for Diabetes mellitus due to underlying condition with ophthalmic complications
  • NON-BILLABLE CODE - E08.31 for Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy
  • NON-BILLABLE CODE - E08.32 for Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy
  • NON-BILLABLE CODE - E08.33 for Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy
  • NON-BILLABLE CODE - E08.34 for Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy
  • NON-BILLABLE CODE - E08.35 for Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy
  • BILLABLE CODE - Use E08.36 for Diabetes mellitus due to underlying condition with diabetic cataract
  • NON-BILLABLE CODE - E08.37 for Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment
  • BILLABLE CODE - Use E08.39 for Diabetes mellitus due to underlying condition with other diabetic ophthalmic complication
  • NON-BILLABLE CODE - E08.4 for Diabetes mellitus due to underlying condition with neurological complications
  • BILLABLE CODE - Use E08.40 for Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified
  • BILLABLE CODE - Use E08.41 for Diabetes mellitus due to underlying condition with diabetic mononeuropathy
  • BILLABLE CODE - Use E08.42 for Diabetes mellitus due to underlying condition with diabetic polyneuropathy
  • BILLABLE CODE - Use E08.43 for Diabetes mellitus due to underlying condition with diabetic autonomic (poly)neuropathy
  • BILLABLE CODE - Use E08.44 for Diabetes mellitus due to underlying condition with diabetic amyotrophy
  • BILLABLE CODE - Use E08.49 for Diabetes mellitus due to underlying condition with other diabetic neurological complication
  • NON-BILLABLE CODE - E08.5 for Diabetes mellitus due to underlying condition with circulatory complications
  • BILLABLE CODE - Use E08.51 for Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene
  • BILLABLE CODE - Use E08.52 for Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene
  • BILLABLE CODE - Use E08.59 for Diabetes mellitus due to underlying condition with other circulatory complications
  • NON-BILLABLE CODE - E08.6 for Diabetes mellitus due to underlying condition with other specified complications
  • NON-BILLABLE CODE - E08.61 for Diabetes mellitus due to underlying condition with diabetic arthropathy
  • NON-BILLABLE CODE - E08.62 for Diabetes mellitus due to underlying condition with skin complications
  • NON-BILLABLE CODE - E08.63 for Diabetes mellitus due to underlying condition with oral complications
  • NON-BILLABLE CODE - E08.64 for Diabetes mellitus due to underlying condition with hypoglycemia
  • BILLABLE CODE - Use E08.65 for Diabetes mellitus due to underlying condition with hyperglycemia
  • BILLABLE CODE - Use E08.69 for Diabetes mellitus due to underlying condition with other specified complication
  • BILLABLE CODE - Use E08.8 for Diabetes mellitus due to underlying condition with unspecified complications
  • BILLABLE CODE - Use E08.9 for Diabetes mellitus due to underlying condition without complications

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:


Code First

Code First
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.

Use Additional Code

Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Patient Education


Diabetes

Diabetes is a disease in which your blood glucose, or blood sugar, levels are too high. Glucose comes from the foods you eat. Insulin is a hormone that helps the glucose get into your cells to give them energy. With type 1 diabetes, your body does not make insulin. With type 2 diabetes, the more common type, your body does not make or use insulin well. Without enough insulin, the glucose stays in your blood. You can also have prediabetes. This means that your blood sugar is higher than normal but not high enough to be called diabetes. Having prediabetes puts you at a higher risk of getting type 2 diabetes.

Over time, having too much glucose in your blood can cause serious problems. It can damage your eyes, kidneys, and nerves. Diabetes can also cause heart disease, stroke and even the need to remove a limb. Pregnant women can also get diabetes, called gestational diabetes.

Blood tests can show if you have diabetes. One type of test, the A1C, can also check on how you are managing your diabetes. Exercise, weight control and sticking to your meal plan can help control your diabetes. You should also monitor your blood glucose level and take medicine if prescribed.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


[Read More]

Diabetes

Diabetes is a disease in which your blood glucose, or blood sugar, levels are too high. Glucose comes from the foods you eat. Insulin is a hormone that helps the glucose get into your cells to give them energy. With type 1 diabetes, your body does not make insulin. With type 2 diabetes, the more common type, your body does not make or use insulin well. Without enough insulin, the glucose stays in your blood. You can also have prediabetes. This means that your blood sugar is higher than normal but not high enough to be called diabetes. Having prediabetes puts you at a higher risk of getting type 2 diabetes.

Over time, having too much glucose in your blood can cause serious problems. It can damage your eyes, kidneys, and nerves. Diabetes can also cause heart disease, stroke and even the need to remove a limb. Pregnant women can also get diabetes, called gestational diabetes.

Blood tests can show if you have diabetes. One type of test, the A1C, can also check on how you are managing your diabetes. Exercise, weight control and sticking to your meal plan can help control your diabetes. You should also monitor your blood glucose level and take medicine if prescribed.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


[Learn More in MedlinePlus]

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)