E09.49

Billable

Drug or chemical induced diabetes mellitus with neurological complications with other diabetic neurological 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 nerve damage complications not specified in other categories.

Coding Tips

•Use this code only when the neurological complication doesn't fit E09.41-E09.44
•Document the specific neurological complication in detail to support medical necessity

Clinical Significance

Drug or chemical induced diabetes mellitus with other diabetic neurological complication captures neurological manifestations that do not fit the standard categories of mononeuropathy, polyneuropathy, autonomic neuropathy, or amyotrophy. This may include conditions such as diabetic encephalopathy, central neuropathic pain syndromes, or cranial neuropathies not classified as mononeuropathy. These atypical neurological complications require specialized neurological evaluation.

Documentation Requirements

✓The causative drug or chemical must be documented.
✓The specific neurological complication must be clearly described and differentiated from the standard neuropathy categories (E09.40-E09.44).
✓Supporting diagnostic studies and neurological examination findings should be included.
✓The causal relationship to drug-induced diabetes must be established.

Commonly Confused Codes

E09.40-E09.44 are more specific neurological complication codes that should be used when applicable.E09.69 (other specified complication) may be confused when the complication has overlapping features.G99.0 (autonomic neuropathy in diseases classified elsewhere) should not replace this combination code.

Code Hierarchy

└E09Drug or chemical induced diabetes mellitus └E09.4Drug or chemical induced diabetes mellitus with neurological complications └E09.49Drug or chemical induced diabetes mellitus with neurological complications with other diabetic neurological complication

└E09.49Drug or chemical induced diabetes mellitus with neurological complications with other diabetic neurological complication