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FY2027 ICD-10-CM reference

E08.628: Diabetes mellitus due to underlying condition with other skin complications

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Diabetes mellitus due to underlying condition with other skin complications. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Billable code. Verified against the official FY2027 order file.

CMS-HCC V28

  • HCC 37: Diabetes with Chronic Complications · RAF 0.166, Community Non-Dual Aged (CNA)

Payment year 2027, 2026 dates of service. HCC from the CMS 2027 Initial ICD-10-CM Mappings; RAF from the CMS-HCC V28 relative factors. For 2027 dates of service, CMS has not yet published the payment year 2028 mappings.

CMS-HCC V24

Not used for payment year 2027 Medicare Advantage payment

ESRD

Source verification pending

PACE

Source verification pending

RxHCC

Source verification pending

HHS-HCC

Source verification pending

FY2027 Tabular instructions

Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.

Instructional note

All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.

Source: E00-E89 (chapter, inherited).

Excludes1

transitory endocrine and metabolic disorders specific to newborn (P70-P74)

Source: E00-E89 (chapter, inherited).

Code first

the underlying condition, such as:

Source: E08 (category, inherited).

Code first

congenital rubella (P35.0)

Source: E08 (category, inherited).

Code first

Cushing's syndrome (E24.-)

Source: E08 (category, inherited).

Code first

cystic fibrosis (E84.-)

Source: E08 (category, inherited).

Code first

malignant neoplasm (C00-C96)

Source: E08 (category, inherited).

Code first

malnutrition (E40-E46)

Source: E08 (category, inherited).

Code first

pancreatitis and other diseases of the pancreas (K85-K86.-)

Source: E08 (category, inherited).

Instructional note

code to identify control using:

Source: E08 (category, inherited).

Instructional note

injectable non-insulin antidiabetic drugs (Z79.85)

Source: E08 (category, inherited).

Instructional note

insulin (Z79.4)

Source: E08 (category, inherited).

Instructional note

oral antidiabetic drugs (Z79.84)

Source: E08 (category, inherited).

Instructional note

oral hypoglycemic drugs (Z79.84)

Source: E08 (category, inherited).

Excludes1

drug or chemical induced diabetes mellitus (E09.-)

Source: E08 (category, inherited).

Excludes1

gestational diabetes (O24.4-)

Source: E08 (category, inherited).

Excludes1

neonatal diabetes mellitus (P70.2)

Source: E08 (category, inherited).

Excludes1

postpancreatectomy diabetes mellitus (E13.-)

Source: E08 (category, inherited).

Excludes1

postprocedural diabetes mellitus (E13.-)

Source: E08 (category, inherited).

Excludes1

secondary diabetes mellitus NEC (E13.-)

Source: E08 (category, inherited).

Excludes1

type 1 diabetes mellitus (E10.-)

Source: E08 (category, inherited).

Excludes1

type 2 diabetes mellitus (E11.-)

Source: E08 (category, inherited).

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does E08.628 mean in FY2027?

The official ICD-10-CM descriptor is Diabetes mellitus due to underlying condition with other skin complications. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is E08.628 billable in FY2027?

The FY2027 order file marks E08.628 as billable. Check the complete Tabular instructions and documentation before assigning it.

Does E08.628 map to an HCC?

In the CMS 2027 Initial ICD-10-CM Mappings (payment year 2027, 2026 dates of service), E08.628 maps to CMS-HCC V28 HCC 37 (Diabetes with Chronic Complications). For 2027 dates of service, CMS has not yet published the payment year 2028 mappings. ESRD, RxHCC, PACE and HHS-HCC mappings are still pending verification for FY2027.

Source: CMS FY2027 ICD-10-CM order file. Read the FY2027 Official Guidelines.

Review the FY2026 April edition