2027 ICD-10-CM Diagnosis Code E13Other specified diabetes mellitus
E13 is a non-billable ICD-10-CM category code for other specified diabetes mellitus, so it cannot be submitted on claims. Use a more specific code from this category instead, such as E13.00, E13.01, E13.10, and E13.11.
Code Identity
Code Classification
Specific Coding for Other specified diabetes mellitusOverview
Non-specific codes like E13 require more characters. Use one of these billable codes instead:
E13.0 for Other specified diabetes mellitus with hyperosmolarity
Use E13.00 for Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
Use E13.01 for Other specified diabetes mellitus with hyperosmolarity with coma
E13.1 for Other specified diabetes mellitus with ketoacidosis
Use E13.10 for Other specified diabetes mellitus with ketoacidosis without coma
Use E13.11 for Other specified diabetes mellitus with ketoacidosis with coma
E13.2 for Other specified diabetes mellitus with kidney complications
Use E13.21 for Other specified diabetes mellitus with diabetic nephropathy
Use E13.22 for Other specified diabetes mellitus with diabetic chronic kidney disease
Use E13.29 for Other specified diabetes mellitus with other diabetic kidney complication
E13.3 for Other specified diabetes mellitus with ophthalmic complications
E13.31 for Other specified diabetes mellitus with unspecified diabetic retinopathy
E13.32 for Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy
E13.33 for Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy
E13.34 for Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy
E13.35 for Other specified diabetes mellitus with proliferative diabetic retinopathy
Use E13.36 for Other specified diabetes mellitus with diabetic cataract
E13.37 for Other specified diabetes mellitus with diabetic macular edema, resolved following treatment
Use E13.39 for Other specified diabetes mellitus with other diabetic ophthalmic complication
E13.4 for Other specified diabetes mellitus with neurological complications
Use E13.40 for Other specified diabetes mellitus with diabetic neuropathy, unspecified
Use E13.41 for Other specified diabetes mellitus with diabetic mononeuropathy
Use E13.42 for Other specified diabetes mellitus with diabetic polyneuropathy
Use E13.43 for Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy
Use E13.44 for Other specified diabetes mellitus with diabetic amyotrophy
Use E13.49 for Other specified diabetes mellitus with other diabetic neurological complication
E13.5 for Other specified diabetes mellitus with circulatory complications
Use E13.51 for Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene
Use E13.52 for Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene
Use E13.59 for Other specified diabetes mellitus with other circulatory complications
E13.6 for Other specified diabetes mellitus with other specified complications
E13.61 for Other specified diabetes mellitus with diabetic arthropathy
E13.62 for Other specified diabetes mellitus with skin complications
E13.63 for Other specified diabetes mellitus with oral complications
E13.64 for Other specified diabetes mellitus with hypoglycemia
Use E13.65 for Other specified diabetes mellitus with hyperglycemia
Use E13.69 for Other specified diabetes mellitus with other specified complication
Use E13.8 for Other specified diabetes mellitus with unspecified complications
Use E13.9 for Other specified diabetes mellitus without complications
Coding GuidelinesGuidance
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.
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to E13: its own notes plus those printed at Chapter 4. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives 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
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- 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.-)
Use Additional Code
Add a second code, after this one, to fully describe the condition.
Notes
General instructions on how these codes are used.
- All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name E13, its category, or a range that includes it.
Excludes1 13
These codes carry an Excludes1 note naming E13: they are not reported together with it, unless the two conditions are unrelated.
- E08 Diabetes mellitus due to underlying conditionpostpancreatectomy diabetes mellitus (E13.-)
- E08 Diabetes mellitus due to underlying conditionpostprocedural diabetes mellitus (E13.-)
- E08 Diabetes mellitus due to underlying conditionsecondary diabetes mellitus NEC (E13.-)
- E09 Drug or chemical induced diabetes mellituspostpancreatectomy diabetes mellitus (E13.-)
- E09 Drug or chemical induced diabetes mellituspostprocedural diabetes mellitus (E13.-)
- E09 Drug or chemical induced diabetes mellitussecondary diabetes mellitus NEC (E13.-)
- E10 Type 1 diabetes mellituspostpancreatectomy diabetes mellitus (E13.-)
- E10 Type 1 diabetes mellituspostprocedural diabetes mellitus (E13.-)
- E10 Type 1 diabetes mellitussecondary diabetes mellitus NEC (E13.-)
- E11 Type 2 diabetes mellituspostpancreatectomy diabetes mellitus (E13.-)
- E11 Type 2 diabetes mellituspostprocedural diabetes mellitus (E13.-)
- E11 Type 2 diabetes mellitussecondary diabetes mellitus NEC (E13.-)
- E87.2 Acidosisdiabetic acidosis - see categories E08-E10, E11, E13 with ketoacidosis
Excludes2 1
These codes carry an Excludes2 note naming E13: its condition is not part of those codes, and both may be reported when the patient has both.
- E87.0 Hyperosmolality and hypernatremiadiabetes with hyperosmolarity (E08, E09, E11, E13 with final characters .00 or .01)
Code First 1
These codes say to code first a condition named in the note, and E13 is one of the conditions named.
Use Additional Code 3
These codes say to use an additional code from the note, and E13 is one of the codes named.
- O24.8 Other pre-existing diabetes mellitus in pregnancy, childbirth, and the puerperiumfrom categories E08, E09 and E13 to further identify any manifestation
- O24.9 Unspecified diabetes mellitus in pregnancy, childbirth and the puerperiumfrom categories E08, E09 and E13 to further identify any manifestation
- Z90.41 Acquired absence of pancreasdiabetes mellitus, postpancreatectomy (E13.-)
Patient EducationClinical
Diabetes
Diabetes, also known as diabetes mellitus, is a disease in which your blood glucose, or blood sugar, levels are too high. Glucose is your body's main source of energy. Your body can make glucose, but it also comes from the food you eat. Insulin is a hormone made by your pancreas.
The full article covers:
- What is diabetes?
- What are the types of diabetes?
- What causes diabetes?
- Who is more likely to develop diabetes?
- What are the symptoms of diabetes?
- How is diabetes diagnosed?
- What are the treatments for diabetes?
- Can diabetes be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About E13Overview
What is the ICD-10 code for other specified diabetes mellitus?
E13 is the ICD-10-CM category for other specified diabetes mellitus, but it is a non-billable header: claims need a more specific code from this category, listed on this page.
Is E13 (Other specified diabetes mellitus) a billable code?
No. This is a category header that groups the codes for other specified diabetes mellitus, and headers cannot be submitted on claims. Claims for other specified diabetes mellitus need a more specific code from this category, such as E13.00, E13.01, and E13.10.
Can E13 be reported with a code from E10?
Not as a rule. The Excludes1 note on E13 lists "diabetes (mellitus) due to autoimmune process (E10.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
Does E13 need an additional code?
When the condition applies, yes. The Use Additional Code note reads: 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). The additional code is reported after E13.