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E09.63 ICD-10-CM Code: Drug or chemical induced diabetes mellitus with oral complications

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FY 2026 Apr update / Endocrine, nutritional and metabolic diseases (E00-E89) / Diabetes mellitus (E08-E13)

E09.63

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Drug or chemical induced diabetes mellitus with oral complications

Drug or chemical induced diabetes mellitus with oral complications

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
E09Drug or chemical induced diabetes mellitus
E09.6Drug or chemical induced diabetes mellitus with other specified complications
E09.63Drug or chemical induced diabetes mellitus with oral complications

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for E09.63 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for E09.63 in this effective period.

Related Child Codes

Official
E09.630Drug or chemical induced diabetes mellitus with periodontal disease
E09.638Drug or chemical induced diabetes mellitus with other oral complications

Includes

Official

ICD-10-CM does not list Includes notes for E09.63 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for E09.63 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for E09.63 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for E09.63 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for E09.63 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

E09.63 is the ICD-10-CM diagnosis code for drug or chemical induced diabetes mellitus with oral complications. E09.63 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 E09.63 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at E09.63's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for E09.63 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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