ICD Code E09.65

ICD code E09.65 is drug or chemical induced diabetes mellitus with high blood sugar (hyperglycemia).

1. Patient has a documented history of drug or chemical exposure known to induce diabetes mellitus.

2. Evidence of new-onset or worsening diabetes mellitus temporally associated with the use of the drug or chemical.

3. Laboratory confirmation of hyperglycemia (elevated fasting plasma glucose, random plasma glucose, or HbA1c above diagnostic thresholds).

4. Absence of prior diagnosis of diabetes mellitus before exposure to the drug or chemical, or significant worsening of glycemic control after exposure.

5. Exclusion of other primary causes of diabetes mellitus (such as type 1 or type 2 diabetes not related to drug or chemical exposure).

6. Clinical symptoms consistent with hyperglycemia, such as polyuria, polydipsia, unexplained weight loss, or fatigue.

Relevant CPT codes that may be used to treat ICD code E09.65 include:

- 99202–99215 (Office or other outpatient evaluation and management services)

- 82947 (Glucose; quantitative, blood [except reagent strip])

- 82962 (Glucose, blood by glucose monitoring device(s) cleared by FDA specifically for home use)

- 83036 (Hemoglobin; glycosylated [A1C])

- 84443 (Thyroid stimulating hormone [TSH])

- 96372 (Therapeutic, prophylactic, or diagnostic injection [specify substance or drug]; subcutaneous or intramuscular)

- 95250 (Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor)

- 95251 (Analysis and interpretation of continuous glucose monitoring data)

- 36415 (Collection of venous blood by venipuncture)

These codes should be selected based on the specific services rendered in the management of E09.65.

Schedule a demo to see how MD Clarity’s RevFind software can automatically read your payer contracts and identify underpayments for CPT codes associated with ICD code E09.65. Discover how easy it is to ensure you’re being paid accurately for every claim—book your personalized walkthrough today.