2021 ICD-10-CM Code E09.4

Drug or chemical induced diabetes mellitus with neurological complications

Version 2021

Not Valid for Submission

E09.4 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 neurological complications. The code is not specific and is NOT valid for the year 2021 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.

ICD-10:E09.4
Short Description:Drug/chem diabetes mellitus w neurological complications
Long Description:Drug or chemical induced diabetes mellitus with neurological complications

Code Classification

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 mellitus w neurological complications

Non-specific codes like E09.4 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 mellitus w neurological complications:

  • BILLABLE CODE - Use E09.40 for Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified
  • BILLABLE CODE - Use E09.41 for Drug or chemical induced diabetes mellitus with neurological complications with diabetic mononeuropathy
  • BILLABLE CODE - Use E09.42 for Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy
  • BILLABLE CODE - Use E09.43 for Drug or chemical induced diabetes mellitus with neurological complications with diabetic autonomic (poly)neuropathy
  • BILLABLE CODE - Use E09.44 for Drug or chemical induced diabetes mellitus with neurological complications with diabetic amyotrophy
  • BILLABLE CODE - Use E09.49 for Drug or chemical induced diabetes mellitus with neurological complications with other diabetic neurological complication

Information for Patients


Diabetes

Also called: DM, Diabetes mellitus

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


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Diabetic Nerve Problems

Also called: Diabetic neuropathy

If you have diabetes, your blood glucose, or blood sugar, levels are too high. Over time, this can damage the covering on your nerves or the blood vessels that bring oxygen to your nerves. Damaged nerves may stop sending messages, or may send messages slowly or at the wrong times.

This damage is called diabetic neuropathy. Over half of people with diabetes get it. Symptoms may include

Your doctor will diagnose diabetic neuropathy with a physical exam and nerve tests. Controlling your blood sugar can help prevent nerve problems, or keep them from getting worse. Treatment may include pain relief and other medicines.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


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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)