ICD-9 Code 249.40

Secondary diabetes mellitus with renal manifestations, not stated as uncontrolled, or unspecified

Not Valid for Submission

249.40 is a legacy non-billable code used to specify a medical diagnosis of secondary diabetes mellitus with renal manifestations, not stated as uncontrolled, or unspecified. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

ICD-9: 249.40
Short Description:Sec DM renl nt st uncntr
Long Description:Secondary diabetes mellitus with renal manifestations, not stated as uncontrolled, or unspecified

Convert 249.40 to ICD-10

The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:

  • E08.21 - Diabetes due to underlying condition w diabetic nephropathy
  • E09.21 - Drug/chem diabetes mellitus w diabetic nephropathy

Code Classification

  • Endocrine, nutritional and metabolic diseases, and immunity disorders (240–279)
    • Diseases of other endocrine glands (249-259)
      • 249 Secondary diabetes mellitus

Information for Medical Professionals

Synonyms

  • Malnutrition-related diabetes mellitus with renal complications

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.

A blood test can show if you have diabetes. Exercise, weight control and sticking to your meal plan can help control your diabetes. You should also monitor your glucose level and take medicine if prescribed.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • A1C test
  • Blood sugar test - blood
  • Choose More than 50 Ways to Prevent Type 2 Diabetes - NIH - Easy-to-Read (National Diabetes Education Program)
  • Diabetes
  • Diabetes - keeping active
  • Diabetes - low blood sugar - self-care
  • Diabetes - tests and checkups
  • Diabetes - when you are sick
  • Diabetes and exercise
  • Giving an insulin injection
  • Glucose tolerance test - non-pregnant
  • High blood sugar
  • Immunizations - diabetes
  • Long term complications of diabetes
  • Preparing for surgery when you have diabetes

[Read More]

Diabetic Kidney Problems

Also called: Diabetic nephropathy

If you have diabetes, your blood glucose, or blood sugar, levels are too high. Over time, this can damage your kidneys. Your kidneys clean your blood. If they are damaged, waste and fluids build up in your blood instead of leaving your body.

Kidney damage from diabetes is called diabetic nephropathy. It begins long before you have symptoms. An early sign of it is small amounts of protein in your urine. A urine test can detect it. A blood test can also help determine how well your kidneys are working.

If the damage continues, your kidneys could fail. In fact, diabetes is the most common cause of kidney failure in the United States. People with kidney failure need either dialysis or a kidney transplant.

You can slow down kidney damage or keep it from getting worse. Controlling your blood sugar and blood pressure, taking your medicines and not eating too much protein can help.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • Diabetes and kidney disease
  • Microalbuminuria test
  • Protein urine test

[Read More]

ICD-9 Footnotes

General Equivalence Map Definitions
The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.