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E13 vs E87.20

E13 (Other specified diabetes mellitus) compared with E87.20 (Acidosis, unspecified), from the official CMS tabular data.

Summary

No coding relationship between these codes was found in the tabular notes or in MedCoder’s derived relationships.

What is different?

The conditions named and billing status.E13 is “Other specified diabetes mellitus”; E87.20 is “Acidosis, unspecified”. E13 is a non-billable header; E87.20 is billable.

Registry fact

Can these codes be reported together?

No instruction prevents it.No note in either entry names the other, and no derived relationship links them. Each may be reported when its own documentation requirements are met.

Registry fact

Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code. E13 carries 7 Excludes1 notes and E87.20 carries 11 Excludes1 notes covering other codes; the side-by-side table quotes them.

Official rule

Is there an Excludes2 relationship?

None.Neither entry carries an Excludes2 note that names the other code. E87.20 carries 1 Excludes2 note covering other codes; the side-by-side table quotes them.

Official rule

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Is one a parent or header code?

One is a header.E13 is a non-billable header, but E87.20 is not one of its subdivisions.

Registry fact

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Yes.

No Excludes1/Excludes2 relationship exists between these codes in the official tabular list. Each may be reported when its own documentation requirements are met.

Side by side

E13Other specified diabetes mellitusE87.20Acidosis, unspecified
Billing statusNon-billable header

Report instead: E13.00, E13.01, E13.10, E13.11, E13.21

Billable
ClassificationE00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)
DefinitionOther specified diabetes mellitus is a non-billable ICD-10-CM category code (E13).Acidosis, unspecified is a billable ICD-10-CM diagnosis code (E87.20).
Includes
diabetes mellitus due to genetic defects of beta-cell function
diabetes mellitus due to genetic defects in insulin action
postpancreatectomy diabetes mellitus
postprocedural diabetes mellitus
Lactic acidosis NOS
Metabolic acidosis NOS
Excludes1
diabetes (mellitus) due to autoimmune process (E10.-)
diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction (E10.-)
diabetes mellitus due to underlying condition (E08.-)
drug or chemical induced diabetes mellitus (E09.-)
gestational diabetes (O24.4-)
neonatal diabetes mellitus (P70.2)
type 1 diabetes mellitus (E10.-)
diabetic acidosis - see categories E08-E10, E11, E13 with ketoacidosis
diabetes insipidus (E23.2)
electrolyte imbalance associated with hyperemesis gravidarum (O21.1)
electrolyte imbalance following ectopic or molar pregnancy (O08.5)
familial periodic paralysis (G72.3)
metabolic acidemia in newborn, unspecified (P19.9)
androgen insensitivity syndrome (E34.5-)
congenital adrenal hyperplasia (E25.0)
hemolytic anemias attributable to enzyme disorders (D55.-)
Marfan syndrome (Q87.4-)
5-alpha-reductase deficiency (E29.1)
Excludes2
Ehlers-Danlos syndromes (Q79.6-)
Use additional code
code to identify control using:
injectable non-insulin antidiabetic drugs (Z79.85)
insulin (Z79.4)
Code also
, if applicable, respiratory failure with hypercapnia (J96. with 5th character 2)

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources