E09.641 — Drug or chemical induced diabetes mellitus with hypoglycemia with coma
Is E09.641 billable?
Yes — E09.641 is billable for FY2027. E09.641 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. E09.641 may be submitted for encounters from October 1, 2026 through September 30, 2027.
E09.641 at a glance
| Code | E09.641 |
|---|---|
| Description | Drug or chemical induced diabetes mellitus with hypoglycemia with coma |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does E09.641 group to?
E09.641 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
As a secondary diagnosis, E09.641 is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.
How is E09.641 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to E09.641. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Diabetes, diabetic › due to drug or chemical › with › hypoglycemia › with coma (mellitus) (sugar)
Excludes1 — never code together — inherited from Chapter 4
The conditions below can never be reported together with E09.641 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 E09.641 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 E09.641. E09.641 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 E09.641 to fully describe the condition. E09.641 is sequenced first.
Use additional code — inherited from E09.64
Report an additional code alongside E09.641 to fully describe the condition. E09.641 is sequenced first.
- code for hypoglycemia level, if applicable (E16.A-)
How long has E09.641 existed?
E09.641 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.