{"code":"E08.69","type":"code","title":"Diabetes mellitus due to underlying condition with other specified complication","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":["the underlying condition, such as:","congenital rubella (P35.0)","Cushing's syndrome (E24.-)","cystic fibrosis (E84.-)","malignant neoplasm (C00-C96)","malnutrition (E40-E46)","pancreatitis and other diseases of the pancreas (K85-K86.-)"],"excludes1":["drug or chemical induced diabetes mellitus (E09.-)","gestational diabetes (O24.4-)","neonatal diabetes mellitus (P70.2)","postpancreatectomy diabetes mellitus (E13.-)","postprocedural diabetes mellitus (E13.-)","secondary diabetes mellitus NEC (E13.-)","type 1 diabetes mellitus (E10.-)","type 2 diabetes mellitus (E11.-)"],"excludes2":[],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"sibling_codes":["E08","E08.0","E08.01","E08.1","E08.10","E08.11","E08.2","E08.21","E08.22","E08.29","E08.3","E08.31","E08.311","E08.319","E08.32","E08.321","E08.3211","E08.3212","E08.3213","E08.3219","E08.329","E08.3291","E08.3292","E08.3293","E08.3299","E08.33","E08.331","E08.3311","E08.3312","E08.3313","E08.3319","E08.339","E08.3391","E08.3392","E08.3393","E08.3399","E08.34","E08.341","E08.3411","E08.3412","E08.3413","E08.3419","E08.349","E08.3491","E08.3492","E08.3493","E08.3499","E08.35","E08.351","E08.3511","E08.3512","E08.3513","E08.3519","E08.352","E08.3521","E08.3522","E08.3523","E08.3529","E08.353","E08.3531","E08.3532","E08.3533","E08.3539","E08.354","E08.3541","E08.3542","E08.3543","E08.3549","E08.355","E08.3551","E08.3552","E08.3553","E08.3559","E08.359","E08.3591","E08.3592","E08.3593","E08.3599","E08.36","E08.37","E08.39","E08.4","E08.41","E08.42","E08.43","E08.44","E08.49","E08.5","E08.51","E08.52","E08.59","E08.6","E08.61","E08.610"],"inclusionTerms":[],"sibling_titles":{"code":"E08.610","title":"Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy","isBillable":true},"useAdditionalCode":["code to identify complication","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)"],"clinicalDefinition":"Diabetes mellitus due to underlying condition with other specified complication is a billable ICD-10-CM diagnosis code (E08.69). Excludes1 (not coded here): drug or chemical induced diabetes mellitus (E09.-); gestational diabetes (O24.4-); neonatal diabetes mellitus (P70.2); postpancreatectomy diabetes mellitus (E13.-); postprocedural diabetes mellitus (E13.-); secondary diabetes mellitus NEC (E13.-); type 1 diabetes mellitus (E10.-); type 2 diabetes mellitus (E11.-).","officialDefinition":"Diabetes mellitus due to underlying condition with other specified complication is a billable ICD-10-CM diagnosis code (E08.69). Excludes1 (not coded here): drug or chemical induced diabetes mellitus (E09.-); gestational diabetes (O24.4-); neonatal diabetes mellitus (P70.2); postpancreatectomy diabetes mellitus (E13.-); postprocedural diabetes mellitus (E13.-); secondary diabetes mellitus NEC (E13.-); type 1 diabetes mellitus (E10.-); type 2 diabetes mellitus (E11.-). Code first: the underlying condition, such as:; congenital rubella (P35.0); Cushing's syndrome (E24.-); cystic fibrosis (E84.-); malignant neoplasm (C00-C96); malnutrition (E40-E46); pancreatitis and other diseases of the pancreas (K85-K86.-). Use additional code: code to identify complication; 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).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"drug or chemical induced diabetes mellitus (E09.-)":"E08","gestational diabetes (O24.4-)":"E08","neonatal diabetes mellitus (P70.2)":"E08","postpancreatectomy diabetes mellitus (E13.-)":"E08","postprocedural diabetes mellitus (E13.-)":"E08","secondary diabetes mellitus NEC (E13.-)":"E08","type 1 diabetes mellitus (E10.-)":"E08","type 2 diabetes mellitus (E11.-)":"E08","the underlying condition, such as:":"E08","congenital rubella (P35.0)":"E08","Cushing's syndrome (E24.-)":"E08","cystic fibrosis (E84.-)":"E08","malignant neoplasm (C00-C96)":"E08","malnutrition (E40-E46)":"E08","pancreatitis and other diseases of the pancreas (K85-K86.-)":"E08","code to identify control using:":"E08","injectable non-insulin antidiabetic drugs (Z79.85)":"E08","insulin (Z79.4)":"E08","oral antidiabetic drugs (Z79.84)":"E08","oral hypoglycemic drugs (Z79.84)":"E08"},"hcc":{"mapped":true,"model":"CMS-HCC V28","paymentYear":"2026","categories":[{"hcc":"37","label":"Diabetes with Chronic Complications","family":"Diabetes","suppresses":[{"hcc":"38","label":"Diabetes with Glycemic, Unspecified, or No Complications"}]}],"otherModels":[{"model":"CMS-HCC V22","hcc":"18"},{"model":"RxHCC V08","hcc":"30"}]}}