E09.3219 — Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
Is E09.3219 billable?
Yes, but E09.3219 is an unspecified code. E09.3219 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, E09.3219 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 E09.3219.
E09.3219 at a glance
| Code | E09.3219 |
|---|---|
| Description | Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "9" | unspecified eye |
What does the 7th character "9" mean in E09.3219?
In E09.3219, the 7th character 9 means unspecified eye. The 7th character is required for E09.3219 to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does E09.3219 group to?
E09.3219 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 E09.3219 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under E09.321, the nearest indexed parent of E09.3219. Use them to find the family, then select the specific code.
- Diabetes, diabetic › due to drug or chemical › with › retinopathy › nonproliferative › with macular edema (mellitus) (sugar)
- Diabetes, diabetic › due to drug or chemical › with › retinopathy › nonproliferative › mild › with macular edema (mellitus) (sugar)
Excludes1 — never code together — inherited from Chapter 4
The conditions below can never be reported together with E09.3219 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 E09.3219 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 E09.3219. E09.3219 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 E09.3219 to fully describe the condition. E09.3219 is sequenced first.
How long has E09.3219 existed?
E09.3219 first appears in FY2018 (FY2017 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.