E09.319 — Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy without macular edema
Is E09.319 billable?
Yes, but E09.319 is an unspecified code. E09.319 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, E09.319 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting E09.319 — the more specific alternatives are listed below.
E09.319 at a glance
| Code | E09.319 |
|---|---|
| Description | Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy without macular edema |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does E09.319 group to?
E09.319 sits in MDC Pre and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 008Simultaneous Pancreas, Islet Cell and Kidney Transplantsurgical
How is E09.319 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to E09.319. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Diabetes, diabetic › due to drug or chemical › with › retinopathy (mellitus) (sugar)
Excludes1 — never code together — inherited from Chapter 4
The conditions below can never be reported together with E09.319 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 E09.319 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 E09.319. E09.319 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 E09.319 to fully describe the condition. E09.319 is sequenced first.
How long has E09.319 existed?
E09.319 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.