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  6. 2025 ICD-10-CM Code E13

2025 ICD-10-CM Diagnosis Code E13

Other specified diabetes mellitus

ICD-10-CM Code:
E13
ICD-10 Code for:
Other specified diabetes mellitus
Is Billable?
Not Valid for Submission
Code Navigator:

E13 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of other specified diabetes mellitus. The code is not specific and is NOT valid for the year 2025 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.

Specific Coding Applicable to Other specified diabetes mellitus

Non-specific codes like E13 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for other specified diabetes mellitus:

  • E13.0 for Other specified diabetes mellitus with hyperosmolarity - NON-BILLABLE CODE

  • Use E13.00 for Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) - BILLABLE CODE

  • Use E13.01 for Other specified diabetes mellitus with hyperosmolarity with coma - BILLABLE CODE

  • E13.1 for Other specified diabetes mellitus with ketoacidosis - NON-BILLABLE CODE

  • Use E13.10 for Other specified diabetes mellitus with ketoacidosis without coma - BILLABLE CODE

  • Use E13.11 for Other specified diabetes mellitus with ketoacidosis with coma - BILLABLE CODE

  • E13.2 for Other specified diabetes mellitus with kidney complications - NON-BILLABLE CODE

  • Use E13.21 for Other specified diabetes mellitus with diabetic nephropathy - BILLABLE CODE

  • Use E13.22 for Other specified diabetes mellitus with diabetic chronic kidney disease - BILLABLE CODE

  • Use E13.29 for Other specified diabetes mellitus with other diabetic kidney complication - BILLABLE CODE

  • E13.3 for Other specified diabetes mellitus with ophthalmic complications - NON-BILLABLE CODE

  • E13.31 for Other specified diabetes mellitus with unspecified diabetic retinopathy - NON-BILLABLE CODE

  • E13.32 for Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy - NON-BILLABLE CODE

  • E13.33 for Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy - NON-BILLABLE CODE

  • E13.34 for Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy - NON-BILLABLE CODE

  • E13.35 for Other specified diabetes mellitus with proliferative diabetic retinopathy - NON-BILLABLE CODE

  • Use E13.36 for Other specified diabetes mellitus with diabetic cataract - BILLABLE CODE

  • E13.37 for Other specified diabetes mellitus with diabetic macular edema, resolved following treatment - NON-BILLABLE CODE

  • Use E13.39 for Other specified diabetes mellitus with other diabetic ophthalmic complication - BILLABLE CODE

  • E13.4 for Other specified diabetes mellitus with neurological complications - NON-BILLABLE CODE

  • Use E13.40 for Other specified diabetes mellitus with diabetic neuropathy, unspecified - BILLABLE CODE

  • Use E13.41 for Other specified diabetes mellitus with diabetic mononeuropathy - BILLABLE CODE

  • Use E13.42 for Other specified diabetes mellitus with diabetic polyneuropathy - BILLABLE CODE

  • Use E13.43 for Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy - BILLABLE CODE

  • Use E13.44 for Other specified diabetes mellitus with diabetic amyotrophy - BILLABLE CODE

  • Use E13.49 for Other specified diabetes mellitus with other diabetic neurological complication - BILLABLE CODE

  • E13.5 for Other specified diabetes mellitus with circulatory complications - NON-BILLABLE CODE

  • Use E13.51 for Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene - BILLABLE CODE

  • Use E13.52 for Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene - BILLABLE CODE

  • Use E13.59 for Other specified diabetes mellitus with other circulatory complications - BILLABLE CODE

  • E13.6 for Other specified diabetes mellitus with other specified complications - NON-BILLABLE CODE

  • E13.61 for Other specified diabetes mellitus with diabetic arthropathy - NON-BILLABLE CODE

  • E13.62 for Other specified diabetes mellitus with skin complications - NON-BILLABLE CODE

  • E13.63 for Other specified diabetes mellitus with oral complications - NON-BILLABLE CODE

  • E13.64 for Other specified diabetes mellitus with hypoglycemia - NON-BILLABLE CODE

  • Use E13.65 for Other specified diabetes mellitus with hyperglycemia - BILLABLE CODE

  • Use E13.69 for Other specified diabetes mellitus with other specified complication - BILLABLE CODE

  • Use E13.8 for Other specified diabetes mellitus with unspecified complications - BILLABLE CODE

  • Use E13.9 for Other specified diabetes mellitus without complications - BILLABLE CODE

Code Classification

  • Endocrine, nutritional and metabolic diseases
    E00–E89
    • Diabetes mellitus
      E08-E13
      • Other specified diabetes mellitus
        E13

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.

Tabular List of Diseases and Injuries

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


Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • diabetes mellitus due to genetic defects of beta-cell function
  • diabetes mellitus due to genetic defects in insulin action
  • postpancreatectomy diabetes mellitus
  • postprocedural diabetes mellitus
  • secondary diabetes mellitus NEC

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.
  • code to identify control using:
  • injectable non-insulin antidiabetic drugs Z79.85
  • insulin Z79.4
  • oral antidiabetic drugs Z79.84
  • oral hypoglycemic drugs Z79.84

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.
  • diabetes mellitus due to autoimmune process E10
  • diabetes mellitus due to immune mediated pancreatic islet beta-cell destruction E10
  • diabetes mellitus due to underlying condition E08
  • drug or chemical induced diabetes mellitus E09
  • gestational diabetes O24.4
  • neonatal diabetes mellitus P70.2
  • type 1 diabetes mellitus E10

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


[Learn More in MedlinePlus]

Diabetes Overview

Overview of diabetes, including: risk factors, prevention of type 2 diabetes, insulin and other treatments, diabetes diet, eating , and physical activity.
[Learn More in MedlinePlus]

Healthy Living with Diabetes

A healthy lifestyle can help you manage your diabetes, as well as your blood pressure and cholesterol levels. Start small and work with your health care team.
[Learn More in MedlinePlus]

Managing Diabetes

Learn how to create a diabetes care plan by leading a healthy lifestyle, taking medicines, and managing your blood glucose level.
[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.