E09.31 — Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy
Is E09.31 billable?
No — E09.31 is a non-billable header code. E09.31 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 2 billable codes beneath E09.31.
E09.31 at a glance
| Code | E09.31 |
|---|---|
| Description | Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from Chapter 4
The conditions below can never be reported together with E09.31 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- transitory endocrine and metabolic disorders specific to newborn (P70-P74)
Excludes1 — never code together — inherited from E09
The conditions below can never be reported together with E09.31 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- diabetes mellitus due to underlying condition (E08.-)
- gestational diabetes (O24.4-)
- neonatal diabetes mellitus (P70.2)
- postpancreatectomy diabetes mellitus (E13.-)
- postprocedural diabetes mellitus (E13.-)
- secondary diabetes mellitus NEC (E13.-)
- type 1 diabetes mellitus (E10.-)
- type 2 diabetes mellitus (E11.-)
Code first — inherited from E09
The underlying condition below must be sequenced before E09.31. E09.31 describes a manifestation and cannot be the principal or first-listed diagnosis.
- poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
Use additional code — inherited from E09
Report an additional code alongside E09.31 to fully describe the condition. E09.31 is sequenced first.
What codes fall under E09.31? (2)
How long has E09.31 existed?
E09.31 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the E09.3 family? (7)
- E09.32Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathynot billable
- E09.33Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathynot billable
- E09.34Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathynot billable
- E09.35Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathynot billable
- E09.36Drug or chemical induced diabetes mellitus with diabetic cataract
- E09.37Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatmentnot billable
- E09.39Drug or chemical induced diabetes mellitus with other diabetic ophthalmic complication