E09.628
BillableDrug or chemical induced diabetes mellitus with other skin complications
HCC Category Mapping
V24HCC 18 — Diabetes with Chronic Complications
0.302ESRDHCC 18 — Diabetes with Chronic Complications
0.000RxHCCHCC 30 — Diabetes with Complications
0.000What This Code Means
Diabetes caused by medications or chemicals with various skin problems such as infections, ulcers, or other skin-related complications.
Coding Tips
- •Specify the type of skin complication (e.g., necrobiosis, bullae, or other dermatological manifestations)
- •Ensure the causative drug or chemical is documented in the medical record
Clinical Significance
Drug or chemical induced diabetes mellitus with other skin complications encompasses diabetic skin manifestations that are not dermatitis or ulcers. This includes conditions such as necrobiosis lipoidica diabeticorum, diabetic bullae, scleredema diabeticorum, acanthosis nigricans, and diabetic thick skin. These conditions are markers of glycemic control status and may indicate increased risk for other diabetic complications.
Documentation Requirements
- ✓The causative drug or chemical must be identified.
- ✓The specific skin complication must be named and described with clinical findings.
- ✓The relationship to drug-induced diabetes must be established in the documentation.
- ✓Dermatology consultation notes, biopsy results, or photographic documentation may support the diagnosis.
Commonly Confused Codes
E09.620 (dermatitis) is used for inflammatory skin conditions.E09.621 and E09.622 are used for ulcerative conditions.L80-L99 skin disorder codes may be used additionally but should not replace this combination code.E09.69 (other specified complication) may overlap when skin findings are part of broader complications.