E09.355 — Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy
Is E09.355 billable?
No — E09.355 is a non-billable header code. E09.355 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 4 billable codes beneath E09.355.
Billable codes under this header
- 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
E09.355 at a glance
| Code | E09.355 |
|---|---|
| Description | Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is E09.355 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to E09.355. 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 › proliferative › with › stable proliferative diabetic retinopathy (mellitus) (sugar)
Excludes1 — never code together — inherited from Chapter 4
The conditions below can never be reported together with E09.355 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 E09.355 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 E09.355. E09.355 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 E09.355 to fully describe the condition. E09.355 is sequenced first.
What codes fall under E09.355? (4)
- 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
How long has E09.355 existed?
E09.355 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.
What other codes are in the E09.35 family? (5)
- 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
- E09.359Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edemanot billable