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E09 vs E10.341

E09 (Drug or chemical induced diabetes mellitus) compared with E10.341 (Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema), 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. E09 carries an Excludes1 note covering E10.341: “type 1 diabetes mellitus (E10.-)”

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. E10.341 carries an Excludes1 note covering E09: “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).

Side by side

E09Drug or chemical induced diabetes mellitusE10.341Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema
Billing statusNon-billable header

Report instead: E09.00, E09.01, E09.10, E09.11, E09.21

Non-billable header

Report instead: E10.3411, E10.3412, E10.3413, E10.3419

ClassificationE00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)
DefinitionDrug or chemical induced diabetes mellitus is a non-billable ICD-10-CM category code (E09).Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema is a non-billable ICD-10-CM category code (E10.341).
7th characterOne of the following 7th characters is to be assigned to codes in subcategory E10.34 to designate laterality of the disease:
Includes
brittle diabetes (mellitus)
diabetes (mellitus) due to autoimmune process
diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction
idiopathic diabetes (mellitus)
Use additional code
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
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