E09.618 ICD-10-CM Code: Drug or chemical induced diabetes mellitus with other diabetic arthropathy
Compare with another codeCheck this code on a claim
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 8 Excludes1 · 6 use-additional codes · 1 code-first instruction
- Risk adjustment
- CMS-HCC V22 category 18 · RxHCC V08 category 30
Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.
What you need to know
Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too; the Instructions section marks which is which.
- Code firstSequence the underlying condition before this code
- poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
- Use additional codeReport with this code when documented
Most relevant related codes MedCoder-derived
- Z79.85Use additional code
- Z79.4Use additional code
- E08Excludes1
- O24.4Excludes1
- P70.2Excludes1
- E13Excludes1
Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.
- MS-DRG 008 — SIMULTANEOUS PANCREAS, ISLET CELL AND KIDNEY TRANSPLANT (MDC PRE)
- MS-DRG 010 — PANCREAS OR ISLET CELL TRANSPLANT (MDC PRE)
- MS-DRG 019 — SIMULTANEOUS PANCREAS, ISLET CELL AND KIDNEY TRANSPLANT WITH HEMODIALYSIS (MDC PRE)
- MS-DRG 637 — DIABETES WITH MCC (MDC 10)
- MS-DRG 638 — DIABETES WITH CC (MDC 10)
- MS-DRG 639 — DIABETES WITHOUT CC/MCC (MDC 10)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for E09.618 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026
Trace:FY2027 changesChange historyRelease, file and checksum
Notes without a marker are published on E09.618 itself; “inherited from” names the category or block whose note applies here.
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).
- diabetes mellitus due to underlying condition (E08.-) Compare E09.618 vs E08 →
- gestational diabetes (O24.4-) Compare E09.618 vs O24.4 →
- neonatal diabetes mellitus (P70.2) Compare E09.618 vs P70.2 →
- postpancreatectomy diabetes mellitus (E13.-) Compare E09.618 vs E13 →
- postprocedural diabetes mellitus (E13.-) Compare E09.618 vs E13 →
- secondary diabetes mellitus NEC (E13.-) Compare E09.618 vs E13 →
- type 1 diabetes mellitus (E10.-) Compare E09.618 vs E10 →
- type 2 diabetes mellitus (E11.-) Compare E09.618 vs E11 →
Source: inherited from E09
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)
Source: inherited from E09
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)
Source: inherited from E09
Coder workflow for E09.618
MedCoder structured workflow — derived from this code’s own official record
Before you code E09.618
- E09.618’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).
- Confirm the documented diabetes type or cause (the E08–E13 categories are separated by it) and every documented complication or manifestation; the code is built from the type first and the complication second. Then work the category’s Use Additional Code notes for medication and control status. Type 2 is the default only when the type is not documented, and insulin or other medication use does not by itself establish the type (Guidelines I.C.4.a.2, I.C.4.a.3).
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with E09.618. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support a condition named in E09.618’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue. - Is the underlying (etiologic) condition the Code First note names documented?
Yes → Sequence the underlying condition first, then E09.618.
No → Continue; do not add an underlying condition the record does not document.
Consider E09.618. Then work the Use Additional Code note, and confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- The associated condition or complication
- Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
- The underlying (etiologic) condition
- Named in the Code First note; sequenced before this code when documented (Guidelines I.A.13).
- The conditions the Use Additional Code note names
- Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.
- Diabetes type or cause, each complication, and medication use
- The type is documented, not inferred from medication (Guidelines I.C.4.a.3); each documented complication takes its own combination code.
Official instructions as workflow
Excludes1 — check before selecting E09.618(8 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with E09.618: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareE08, O24.4, P70.2, E13, E10, E11
See the official tabular notes · Guidelines I.A.12.a
Code First — sequencing check(1 note)
Coding workflow: Check whether the underlying or etiologic condition the note names is documented. When it is, sequence it before E09.618. Do not add an underlying condition the record does not document.
See the official tabular notes · Guidelines I.A.13
Use Additional Code — after identifying E09.618(6 notes)
Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with E09.618 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.
See the official tabular notes · Guidelines I.A.13
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition E09.618 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
Documentation: Only one of the components this code’s title joins is documented.
Coding question: Is E09.618 supported?
Path: Review the code for the documented component on its own.
Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).
Documentation: The underlying condition the Code First note names is documented alongside this condition.
Coding question: How are the two sequenced?
Path: Review the Code First note.
Reason: The underlying condition is sequenced first and the manifestation follows (Guidelines I.A.13).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Official Coding Guidelines
Official source data — quoted verbatim from the CMS/NCHS Official Guidelines
Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.
Chapter 4: Endocrine, Nutritional, and Metabolic Diseases (E00 -E89)
6) Secondary diabetes mellitus Codes under categories E08, Diabetes mellitus due to underlying condition, E09, Drug or chemical induced diabetes mellitus, and E13, Other specified diabetes mellitus, identify complications/manifestations associated with secondary diabetes mellitus. Secondary diabetes is always caused by another condition or event (e.g., cystic fibrosis, malignant neoplasm of pancreas, pancreatectomy, adverse effect of drug, or poisoning).
Chapter 4: Endocrine, Nutritional, and Metabolic Diseases (E00 -E89)
(b) Assigning and sequencing secondary diabetes codes and its causes The sequencing of the secondary diabetes codes in relationship to codes for the cause of the diabetes is based on the Tabular List instructions for categories E08, E09 and E13.
Decision Points
The directives on this code's own record, as a pre-claim checklist.
- Sequencing: 1 Code First instruction — the underlying condition is sequenced before this code when present. See the Code First notes
- 6 Use Additional Code instructions — report the named additional code(s) when the documentation supports them. See the Use Additional Code notes
- 8 Excludes1 entries — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder-derived relationships — computed from published CMS and AHRQ datasets
Other codes that name E09.618 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 23 Excludes1 notes across 8 chapters: E08 — Diabetes mellitus due to underlying condition (via E09.-), E10 — Type 1 diabetes mellitus (via E09.-), E11 — Type 2 diabetes mellitus (via E09.-), E13 — Other specified diabetes mellitus (via E09.-), E74 — Other disorders of carbohydrate metabolism (via E09.-), E87.2 — Acidosis (via E09.-), G54.5 — Neuralgic amyotrophy (via E09.-), G59 — Mononeuropathy in diseases classified elsewhere (via E09.-), G63 — Polyneuropathy in diseases classified elsewhere (via E09.-), G99.0 — Autonomic neuropathy in diseases classified elsewhere (via E09.-), H20.0 — Acute and subacute iridocyclitis (via E09.-), I73.8 — Other specified peripheral vascular diseases (via E09.-), I79.8 — Other disorders of arteries, arterioles and capillaries in diseases classified elsewhere (via E09.-), L92.1 — Necrobiosis lipoidica, not elsewhere classified (via E09.-), L99 — Other disorders of skin and subcutaneous tissue in diseases classified elsewhere (via E09.-), M14 — Arthropathies in other diseases classified elsewhere (via E09.-), M14.6 — Charcôt's joint (via E09.-), M90 — Osteopathies in diseases classified elsewhere (via E09.-), N08 — Glomerular disorders in diseases classified elsewhere (via E09.-), N16 — Renal tubulo-interstitial disorders in diseases classified elsewhere (via E09.-), +3 more.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 2 Excludes2 notes across 2 chapters: H35 — Other retinal disorders (via E09.-), I96 — Gangrene, not elsewhere classified (via E09.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Referenced by 1 Code First instruction: D84.81 — Immunodeficiency due to conditions classified elsewhere (via E09.-).
Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.
Referenced by 1 Code Also instruction: N76.82 — Fournier disease of vagina and vulva (via E09.-).
These codes suggest coding this condition alongside when both are present.
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.
Named in the grouper logic of 6 MS-DRGs: DRG 008 (MDC PRE), DRG 010 (MDC PRE), DRG 019 (MDC PRE), DRG 637 (MDC 10), DRG 638 (MDC 10), DRG 639 (MDC 10).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):END003 — Diabetes mellitus with complication (default); END006 — Diabetes mellitus, due to underlying condition, drug or chemical induced, or other specified type; MUS007 — Other specified joint disorders.
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (Diabetes mellitus with complication, Diabetes mellitus, due to underlying condition, drug or chemical induced, or other specified type, Other specified joint disorders).
E09.40 — Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified, E09.41 — Drug or chemical induced diabetes mellitus with neurological complications with diabetic mononeuropathy, E09.42 — Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy, E09.43 — Drug or chemical induced diabetes mellitus with neurological complications with diabetic autonomic (poly)neuropathy, E09.44 — Drug or chemical induced diabetes mellitus with neurological complications with diabetic amyotrophy, E09.49 — Drug or chemical induced diabetes mellitus with neurological complications with other diabetic neurological complication, E09.51 — Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy without gangrene, E09.52 — Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene, E09.59 — Drug or chemical induced diabetes mellitus with other circulatory complications, E09.610 — Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy, E09.620 — Drug or chemical induced diabetes mellitus with diabetic dermatitis, E09.621 — Drug or chemical induced diabetes mellitus with foot ulcer, E09.622 — Drug or chemical induced diabetes mellitus with other skin ulcer, E09.628 — Drug or chemical induced diabetes mellitus with other skin complications, E09.630 — Drug or chemical induced diabetes mellitus with periodontal disease, E09.638 — Drug or chemical induced diabetes mellitus with other oral complications, E09.641 — Drug or chemical induced diabetes mellitus with hypoglycemia with coma, E09.649 — Drug or chemical induced diabetes mellitus with hypoglycemia without coma, E09.65 — Drug or chemical induced diabetes mellitus with hyperglycemia, E09.69 — Drug or chemical induced diabetes mellitus with other specified complication, +1177 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Diabetes, diabetic”; these codes share that main term but sit in a different category of the Tabular List.
E08.622 — Diabetes mellitus due to underlying condition with other skin ulcer (due to underlying condition, with, skin ulcer NEC), E08.628 — Diabetes mellitus due to underlying condition with other skin complications (due to underlying condition, with, skin complication NEC), E08.630 — Diabetes mellitus due to underlying condition with periodontal disease (due to underlying condition, with, periodontal disease), E08.638 — Diabetes mellitus due to underlying condition with other oral complications (due to underlying condition, with, oral complication NEC), E08.641 — Diabetes mellitus due to underlying condition with hypoglycemia with coma (due to underlying condition, with, hypoglycemia, with coma), E08.649 — Diabetes mellitus due to underlying condition with hypoglycemia without coma (due to underlying condition, with, hypoglycemia), E08.65 — Diabetes mellitus due to underlying condition with hyperglycemia (due to underlying condition, with, hyperglycemia), E08.69 — Diabetes mellitus due to underlying condition with other specified complication (due to underlying condition, with, complication, specified NEC), E08.8 — Diabetes mellitus due to underlying condition with unspecified complications (due to underlying condition, with, complication), E08.9 — Diabetes mellitus due to underlying condition without complications (due to underlying condition), E10.10 — Type 1 diabetes mellitus with ketoacidosis without coma (type 1, with, ketoacidosis), E10.11 — Type 1 diabetes mellitus with ketoacidosis with coma (type 1, with, ketoacidosis, with coma), E10.21 — Type 1 diabetes mellitus with diabetic nephropathy (type 1, with, nephropathy), E10.22 — Type 1 diabetes mellitus with diabetic chronic kidney disease (type 1, with, chronic kidney disease), E10.29 — Type 1 diabetes mellitus with other diabetic kidney complication (type 1, with, renal complication NEC), E10.311 — Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema (type 1, with, retinopathy, with macular edema), E10.319 — Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema (type 1, with, retinopathy), E10.321 — Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema (type 1, with, retinopathy, nonproliferative, with macular edema), E10.329 — Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema (type 1, with, retinopathy, nonproliferative), E10.331 — Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema (type 1, with, retinopathy, nonproliferative, moderate, with macular edema), +192 more
Lab tests where this diagnosis supports Medicare coverage (NCD)
Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.
HbA1c Test (Glycated Hemoglobin), Blood Glucose Test, Iron Panel, Lipid Panel, Thyroid Stimulating Hormone (TSH)
Contextual Map
Every relationship of E09.618 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.
Run E09.618 with these 12 related codes in Claim Check
Hierarchy
- E00-E89 — Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E89) (E00-E89)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- E08-E13 — Diabetes mellitus[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Referenced by Excludes1 notes (23)
- E08 — Diabetes mellitus due to underlying condition[Excludes1](via E09.-): “drug or chemical induced diabetes mellitus (E09.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- E10 — Type 1 diabetes mellitus[Excludes1](via E09.-): “drug or chemical induced diabetes mellitus (E09.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- E11 — Type 2 diabetes mellitus[Excludes1](via E09.-): “drug or chemical induced diabetes mellitus (E09.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- E13 — Other specified diabetes mellitus[Excludes1](via E09.-): “drug or chemical induced diabetes mellitus (E09.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- E74 — Other disorders of carbohydrate metabolism[Excludes1](via E09.-): “diabetes mellitus (E08-E13)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- E87.2 — Acidosis[Excludes1](via E09.-): “diabetic acidosis - see categories E08-E10, E11, E13 with ketoacidosis”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- G54.5 — Neuralgic amyotrophy[Excludes1](via E09.-): “neuralgic amyotrophy in diabetes mellitus (E08-E13 with .44)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- G59 — Mononeuropathy in diseases classified elsewhere[Excludes1](via E09.-): “diabetic mononeuropathy (E08-E13 with .41)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- and 15 more
Referenced by Excludes2 notes
- H35 — Other retinal disorders[Excludes2](via E09.-): “diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- I96 — Gangrene, not elsewhere classified[Excludes2](via E09.-): “gangrene in diabetes mellitus (E08-E13 with .52)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Referenced by Code First instructions
- D84.81 — Immunodeficiency due to conditions classified elsewhere[Code First](via E09.-): “diabetes mellitus (E08-E13)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Referenced by Code Also instructions
- N76.82 — Fournier disease of vagina and vulva[Code Also](via E09.-): “, if applicable, diabetes mellitus (E08-E13 with .9)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Clinical classification (CCSR)
- END003 — Diabetes mellitus with complication[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
- END006 — Diabetes mellitus, due to underlying condition, drug or chemical induced, or other specified type[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
- MUS007 — Other specified joint disorders[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 008 — SIMULTANEOUS PANCREAS, ISLET CELL AND KIDNEY TRANSPLANT[MS-DRG]: “SIMULTANEOUS PANCREAS, ISLET CELL AND KIDNEY TRANSPLANT (MDC PRE)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 010 — PANCREAS OR ISLET CELL TRANSPLANT[MS-DRG]: “PANCREAS OR ISLET CELL TRANSPLANT (MDC PRE)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 019 — SIMULTANEOUS PANCREAS, ISLET CELL AND KIDNEY TRANSPLANT WITH HEMODIALYSIS[MS-DRG]: “SIMULTANEOUS PANCREAS, ISLET CELL AND KIDNEY TRANSPLANT WITH HEMODIALYSIS (MDC PRE)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 637 — DIABETES WITH MCC[MS-DRG]: “DIABETES WITH MCC (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 638 — DIABETES WITH CC[MS-DRG]: “DIABETES WITH CC (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 639 — DIABETES WITHOUT CC/MCC[MS-DRG]: “DIABETES WITHOUT CC/MCC (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
MDC crossing
- Pre-MDC[MDC crossing]: “Pre-MDC — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 175 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027
- MDC 10 — Endocrine, Nutritional and Metabolic Diseases and Disorders[MDC crossing]: “Endocrine, Nutritional and Metabolic Diseases and Disorders — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 5,013 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027
Index entries
- Diabetes, diabetic (mellitus) (sugar), due to drug or chemical, with, arthropathy NEC[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
Nearest codes (40)
- E09 — Drug or chemical induced diabetes mellitus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- E09.3591 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- E09.3592 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- E09.3593 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- E09.3599 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- E09.36 — Drug or chemical induced diabetes mellitus with diabetic cataract[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- E09.37 — Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- E09.37X1 — Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, right eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Indexed Clinical Terms (1)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Coding guidelines Official source data
- ICD-10-CM Official Guidelines for Coding and Reporting (FY2027), quoted by section Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder-derived relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder editorial explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "E09.618 — Drug or chemical induced diabetes mellitus with other diabetic arthropathy." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/e09.618-drug-or-chemical-induced-diabetes-mellitus-with-other-diabetic-arthropathy
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionDrug or chemical induced diabetes mellitus with other diabetic arthropathy
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to E09.618 in its code family, with their registry titles.
- E09.52 — Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene
- E09.59 — Drug or chemical induced diabetes mellitus with other circulatory complications
- E09.6 — Drug or chemical induced diabetes mellitus with other specified complications
- E09.61 — Drug or chemical induced diabetes mellitus with diabetic arthropathy
- E09.610 — Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy
- E09.62 — Drug or chemical induced diabetes mellitus with skin complications
- E09.620 — Drug or chemical induced diabetes mellitus with diabetic dermatitis
- E09.621 — Drug or chemical induced diabetes mellitus with foot ulcer
- E09.622 — Drug or chemical induced diabetes mellitus with other skin ulcer
- E09.628 — Drug or chemical induced diabetes mellitus with other skin complications