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Compare/E08 vs E09.3553

E08 vs E09.3553

E08 (Diabetes mellitus due to underlying condition) compared with E09.3553 (Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, bilateral), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. E08 carries an Excludes1 note covering E09.3553: “drug or chemical induced diabetes mellitus (E09.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. E09.3553 carries an Excludes1 note covering E08: “diabetes mellitus due to underlying condition (E08.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

E08Diabetes mellitus due to underlying conditionE09.3553Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
Billing statusNon-billable header

Report instead: E08.00, E08.01, E08.10, E08.11, E08.21

Billable
ClassificationE00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)
DefinitionDiabetes mellitus due to underlying condition is a non-billable ICD-10-CM category code (E08).Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, bilateral is a billable ICD-10-CM diagnosis code (E09.3553).
7th characterOne of the following 7th characters is to be assigned to codes in subcategory E09.35 to designate laterality of the disease:
Use additional code
code to identify control using:
injectable non-insulin antidiabetic drugs (Z79.85)
insulin (Z79.4)
code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code to identify control using:
injectable non-insulin antidiabetic drugs (Z79.85)
Code first
the underlying condition, such as:
congenital rubella (P35.0)
poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources