2022 ICD-10-CM Code E09.359
Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema

Version 2022
ICD-10:E09.359
Short Description:Drug/chem diabetes w prolif diabetic rtnop w/o macular edema
Long Description:Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema
Status: Not Valid for Submission

Code Classification

  • Endocrine, nutritional and metabolic diseases (E00–E90)
    • Diabetes mellitus (E08-E13)
      • Drug or chemical induced diabetes mellitus (E09)

E09.359 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema. 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 Drug/chem diabetes w prolif diabetic rtnop w/o macular edema

Non-specific codes like E09.359 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 drug/chem diabetes w prolif diabetic rtnop w/o macular edema:

  • BILLABLE CODE - Use E09.3591 for right eye
  • BILLABLE CODE - Use E09.3592 for left eye
  • BILLABLE CODE - Use E09.3593 for bilateral
  • BILLABLE CODE - Use E09.3599 for unspecified eye

Entries in the Index to Diseases and Injuries with references to E09.359

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code E09.359 are found in the index:

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)