E09.6 ICD-10-CM Code: Drug or chemical induced diabetes mellitus with other specified complications
E09.6 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software
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FY 2026 Apr update / Endocrine, nutritional and metabolic diseases (E00-E89) / Diabetes mellitus (E08-E13)
E09.6
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceDrug or chemical induced diabetes mellitus with other specified complications
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialNo inclusion terms are included in this display for E09.6. Check the code and parent instructions in the Code Book.
Excludes 2
OfficialNo Excludes 2 notes are included in this display for E09.6. Check the code and parent instructions in the Code Book.
Related Codes
Includes
OfficialNo Includes notes are included in this display for E09.6. Check the code and parent instructions in the Code Book.
Excludes 1
Official- transitory endocrine and metabolic disorders specific to newborn (P70-P74)Inherited from E00-E89, E09
- diabetes mellitus due to underlying condition (E08.-)Inherited from E00-E89, E09
- gestational diabetes (O24.4-)Inherited from E00-E89, E09
- neonatal diabetes mellitus (P70.2)Inherited from E00-E89, E09
- postpancreatectomy diabetes mellitus (E13.-)Inherited from E00-E89, E09
- postprocedural diabetes mellitus (E13.-)Inherited from E00-E89, E09
- secondary diabetes mellitus NEC (E13.-)Inherited from E00-E89, E09
- type 1 diabetes mellitus (E10.-)Inherited from E00-E89, E09
- type 2 diabetes mellitus (E11.-)Inherited from E00-E89, E09
Code First
Official- poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)Inherited from E09
Use Additional
Official- code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)Inherited from E09
- code to identify control using:Inherited from E09
- injectable non-insulin antidiabetic drugs (Z79.85)Inherited from E09
- insulin (Z79.4)Inherited from E09
- oral antidiabetic drugs (Z79.84)Inherited from E09
- oral hypoglycemic drugs (Z79.84)Inherited from E09
Code Also
OfficialNo Code Also instructions are included in this display for E09.6. Check the code and parent instructions in the Code Book.
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
- Code
- E09.6
- Description
- Drug or chemical induced diabetes mellitus with other specified complications
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- No
- Payment year
- 2026
Coder workflow notes
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What This Code Means
E09.6 is the ICD-10-CM diagnosis code for drug or chemical induced diabetes mellitus with other specified complications. E09.6 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering diabetes mellitus (e08-e13).
Header codes like E09.6 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for E09.6 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.