E09.3413

Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral

Billable / specific

E09.3413 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes (from E09)

  • Note: 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.

Excludes1

Not coded here — never report together with this code.

  • transitory endocrine and metabolic disorders specific to newborn (P70-P74) (from E09)
  • diabetes mellitus due to underlying condition (E08.-) (from E09)
  • gestational diabetes (O24.4-) (from E09)
  • neonatal diabetes mellitus (P70.2) (from E09)
  • postpancreatectomy diabetes mellitus (E13.-) (from E09)
  • postprocedural diabetes mellitus (E13.-) (from E09)
  • secondary diabetes mellitus NEC (E13.-) (from E09)
  • type 1 diabetes mellitus (E10.-) (from E09)
  • type 2 diabetes mellitus (E11.-) (from E09)

Code first

Sequence the underlying condition first.

  • poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4) (from E09)

Use additional code

Add a code to identify the following, if applicable.

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) (from E09)
  • code to identify control using: (from E09)
  • injectable non-insulin antidiabetic drugs (Z79.85) (from E09)
  • insulin (Z79.4) (from E09)
  • oral antidiabetic drugs (Z79.84) (from E09)
  • oral hypoglycemic drugs (Z79.84) (from E09)

7th character

The 7th character values that apply to this code (defined at E09.34). Use the placeholder "X" for missing positions.

CharacterMeaning
1right eye
2left eye
3bilateral
9unspecified eye

Parent code

  • E09.341Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edemaNeeds 7th char

Related codes

  • E09.3411Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eyeBillable
  • E09.3412Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eyeBillable
  • E09.3419Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eyeBillable

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