E09.35 — Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy
Is E09.35 billable?
No — E09.35 is a non-billable header code. E09.35 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 24 billable codes beneath E09.35.
Billable codes under this header
- E09.3511Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
- E09.3512Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
- E09.3513Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
- E09.3519Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
- E09.3521Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
- E09.3522Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
- E09.3523Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
- E09.3529Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
- E09.3531Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
- E09.3532Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
- E09.3533Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
- E09.3539Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
- E09.3541Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
- E09.3542Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
- E09.3543Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
- E09.3549Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
- E09.3551Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, right eye
- E09.3552Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, left eye
- E09.3553Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
- E09.3559Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
- E09.3591Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
- E09.3592Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
- E09.3593Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
- E09.3599Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
E09.35 at a glance
| Code | E09.35 |
|---|---|
| Description | Drug or chemical induced diabetes mellitus with proliferative 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 E09.35 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 E09.35 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 E09.35. E09.35 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 E09.35 to fully describe the condition. E09.35 is sequenced first.
What codes fall under E09.35? (6)
- E09.351Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edemanot billable
- E09.352Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the maculanot billable
- E09.353Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the maculanot billable
- E09.354Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachmentnot billable
- E09.355Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathynot billable
- E09.359Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edemanot billable
How long has E09.35 existed?
E09.35 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)
- E09.31Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathynot billable
- 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
- E09.36Drug 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