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E09.353 ICD-10-CM Code: Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula is a non-billable ICD-10-CM category code (E09.353). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for E09.353 in the official ICD-10-CM tabular list.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Code First

Underlying conditions that must be sequenced before this code.

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

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • Use additional 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)

Frequently Compared Codes

The official Excludes notes on E09.353 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula
    FY2017 changes

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Contextual Map

Every relationship of E09.353 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • E00-E89 — Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E89) (E00-E89) [Hierarchy]
  • E08-E13 — Diabetes mellitus [Hierarchy]

Referenced by Excludes1 notes

  • E08 — Diabetes mellitus due to underlying condition [Excludes1](via E09.-): “drug or chemical induced diabetes mellitus (E09.-)” · check together
  • E10 — Type 1 diabetes mellitus [Excludes1](via E09.-): “drug or chemical induced diabetes mellitus (E09.-)” · check together
  • E11 — Type 2 diabetes mellitus [Excludes1](via E09.-): “drug or chemical induced diabetes mellitus (E09.-)” · check together
  • E13 — Other specified diabetes mellitus [Excludes1](via E09.-): “drug or chemical induced diabetes mellitus (E09.-)” · check together
  • H36 — Retinal disorders in diseases classified elsewhere [Excludes1](via E09.3.-): “diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-)” · check together

Index entries

  • Diabetes, diabetic (mellitus) (sugar), due to drug or chemical, with, retinopathy, proliferative, with, traction retinal detachment not involving the macula[Index term]

Nearest codes (40)

  • E09 — Drug or chemical induced diabetes mellitus [Sibling]
  • E09.3411 — Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye [Sibling]
  • E09.3412 — Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye [Sibling]
  • E09.3413 — Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral [Sibling]
  • E09.3419 — Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye [Sibling]
  • E09.349 — Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema [Sibling]
  • E09.3491 — Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye [Sibling]
  • E09.3492 — Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye [Sibling]
  • and 32 more

Change history

  • FY2017 — Added to the code set [Change history]

Referenced by Other Codes

Official ICD-10-CM tabular notes on other codes that name E09.353 or its code family.

5 Excludes1 notes across 2 chapters: E08 (via E09.-), E10 (via E09.-), E11 (via E09.-), E13 (via E09.-), H36 (via E09.3.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Can E09.353 be billed directly?

No. E09.353 (Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does E09.353 require a 7th character?

Yes. One of the following 7th characters is to be assigned to codes in subcategory E09.35 to designate laterality of the disease:.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to E09.353 in its code family, with their registry titles.

  • E09.352 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula
  • E09.3521 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
  • E09.3522 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
  • E09.3523 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
  • E09.3529 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
  • E09.3531 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
  • E09.3532 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
  • E09.3533 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
  • E09.3539 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
  • E09.354 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment

View all codes in the E09 family

Indexed Clinical Terms (1)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Diabetes, diabetic (mellitus) (sugar), due to drug or chemical, with, retinopathy, proliferative, with, traction retinal detachment not involving the macula