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BETA v.3.0

2025 ICD-10-CM code E13.9

Other specified diabetes mellitus without complications.

Code E13.9 is used only when the specific cause of diabetes is not known or does not fall into other established categories.All neoplasms, even if functionally active, are coded in Chapter 2. If a neoplasm is causing the diabetes, a code from Chapter 2 should be the primary diagnosis, with E13.9 as an additional code to explain the manifestation of diabetes.

Medical necessity for treatment is based on the severity of hyperglycemia and the presence or absence of symptoms and complications.

Diagnosis and treatment are based on patient history, physical examination, and symptoms. Diagnostic tests include blood glucose tests, lipid profiles, and imaging studies to rule out underlying conditions. Treatment depends on the specific type of diabetes and may include lifestyle modifications, oral medications, or insulin therapy.

In simple words: This refers to a type of diabetes that isn't type 1, type 2, or gestational diabetes and currently doesn't have any other health problems associated with it.

This code designates a form of diabetes mellitus that is not classified as type 1, type 2, or gestational diabetes. It signifies that the patient has diabetes but does not exhibit any documented complications.

Example 1: A patient with a history of pancreatectomy develops diabetes. Since the diabetes is due to the surgical removal of the pancreas, it's classified as E13.9., A patient presents with elevated blood glucose levels and symptoms of diabetes, but further testing reveals normal insulin production and no autoantibodies, excluding type 1 and type 2 diabetes. This type of diabetes might fall under E13.9 if no complications are present., A patient with a genetic defect affecting insulin action develops diabetes and does not have any other related complications.

Documentation should include the type of diabetes, clinical findings supporting the diagnosis (e.g., hyperglycemia, polyuria, polydipsia), results of diagnostic tests, and the absence of any reported complications.

** This is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.Excludes1: transitory endocrine and metabolic disorders specific to newborn (P70-P74). Do not use this code for uncontrolled or out-of-control diabetes. 

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