E09.35
Header — not billableDrug or chemical induced diabetes mellitus with proliferative diabetic retinopathy
The ICD-10 code for drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy is E09.35.
E09.35 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 6 more specific codes below.
Clinical notes
7th character definitions
These definitions specify what each valid 7th-character value means for codes in this category.
- [object Object]
7th character note
This category requires a 7th character to indicate additional clinical detail (e.g. encounter type: initial, subsequent, sequela). The code is incomplete without it.
- One of the following 7th characters is to be assigned to codes in subcategory E09.35 to designate laterality of the disease:
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •This category requires a 7th character. Documentation should clearly indicate the episode of care (initial encounter, subsequent encounter, or sequela).
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under E09.35
- E09.351Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema
- E09.352Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula
- E09.353Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula
- E09.354Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment
- E09.355Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy
- E09.359Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema
Related codes in this category
- E09.31Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathynon-billable header
- E09.32Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathynon-billable header
- E09.33Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathynon-billable header
- E09.34Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathynon-billable header
- E09.36Drug or chemical induced diabetes mellitus with diabetic cataract
- E09.37Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment
- E09.39Drug or chemical induced diabetes mellitus with other diabetic ophthalmic complication
- E09.35Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathynon-billable header