E09.39

Billable

Drug or chemical induced diabetes mellitus with other diabetic ophthalmic complication

HCC Category Mapping

V24HCC 18 — Diabetes with Chronic Complications

0.302

ESRDHCC 18 — Diabetes with Chronic Complications

0.000

RxHCCHCC 30 — Diabetes with Complications

0.000

What This Code Means

Diabetes caused by medications or chemicals with eye complications other than retinopathy or cataract.

Coding Tips

•Document the specific ophthalmic complication (such as diabetic macular edema, glaucoma, or corneal changes)
•Use more specific codes if the complication can be more precisely identified

Clinical Significance

Drug or chemical induced diabetes mellitus with other diabetic ophthalmic complication captures eye conditions related to drug-induced diabetes that are not retinopathy, macular edema, or cataracts. This includes conditions such as diabetic glaucoma, corneal epithelial changes, cranial nerve palsies affecting eye movement, or optic neuropathy. These complications may significantly impact visual function and quality of life.

Documentation Requirements

✓The specific ophthalmic complication must be named and described, explaining why it does not fit the retinopathy or cataract categories.
✓The causative drug or chemical must be identified.
✓Ophthalmologic examination findings, including any imaging or functional testing, should be documented to support the diagnosis.

Use Additional Code

code to identify manifestation, such as:
diabetic glaucoma (H40-H42)

Commonly Confused Codes

E09.311-E09.359 (retinopathy codes) and E09.36 (cataract) are more specific and should be used when those conditions are present.E09.29 (kidney complication) or E09.49 (neurological complication) may be confused when the eye condition has overlapping neurological features.H40 series (glaucoma) may need to be coded additionally.

Code Hierarchy

└E09Drug or chemical induced diabetes mellitus └E09.3Drug or chemical induced diabetes mellitus with ophthalmic complications └E09.39Drug or chemical induced diabetes mellitus with other diabetic ophthalmic complication

└E09.39Drug or chemical induced diabetes mellitus with other diabetic ophthalmic complication