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2009 ICD-9-CM
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250 Diabetes mellitus
Excludes: gestational diabetes (648.8)
hyperglycemia NOS (790.29)
neonatal diabetes mellitus (775.1)
nonclinical diabetes (790.29)
secondary diabetes (249.0-249.9)
The following fifth-digit subclassification is for use with category 250:
0 type II or unspecified type, not stated as uncontrolled
Fifth-digit 0 is for use for type II patients, even if the patient requires insulin
Use additional code, if applicable, for associated long-term (current) insulin use V58.67
1 type I [juvenile type], not stated as uncontrolled
2 type II or unspecified type, uncontrolled
Use additional code, if applicable, for associated long-term (current) insulin use V58.67
Fifth-digit 2 is for use for type II, adult-onset, diabetic patients, even if the patient requires insulin
3 type I [juvenile type], uncontrolled | |
 | 250.0 Diabetes mellitus without mention of complication
[0-3]
Diabetes mellitus without mention of complication or manifestation classifiable to 250.1-250.9
Diabetes (mellitus) NOS |
| 250.1 Diabetes with ketoacidosis
[0-3]
Diabetic:
acidosis without mention of coma
ketosis without mention of coma |
| 250.2 Diabetes with hyperosmolarity
[0-3]
Hyperosmolar (nonketotic) coma |
| 250.3 Diabetes with other coma
[0-3]
Diabetic coma (with ketoacidosis)
Diabetic hypoglycemic coma
Insulin coma NOS
Excludes: diabetes with hyperosmolar coma (250.2) |
| 250.4 Diabetes with renal manifestations
[0-3]
Use additional code to identify manifestation, as:
chronic kidney disease (585.1-585.9)
diabetic:
nephropathy NOS (583.81)
nephrosis (581.81)
intercapillary glomerulosclerosis (581.81)
Kimmelstiel-Wilson syndrome (581.81) |
| 250.5 Diabetes with ophthalmic manifestations
[0-3]
Use additional code to identify manifestation, as:
diabetic:
blindness (369.00-369.9)
cataract (366.41)
glaucoma (365.44)
macular edema (362.07)
retinal edema (362.07)
retinopathy (362.01-362.07) |
| 250.6 Diabetes with neurological manifestations
[0-3]
Use additional code to identify manifestation, as:
diabetic:
amyotrophy (353.5)
gastroparalysis (536.3)
gastroparesis (536.3)
mononeuropathy (354.0-355.9)
neurogenic arthropathy (713.5)
peripheral autonomic neuropathy (337.1)
polyneuropathy (357.2) |
| 250.7 Diabetes with peripheral circulatory disorders
[0-3]
Use additional code to identify manifestation, as:
diabetic:
gangrene (785.4)
peripheral angiopathy (443.81) |
| 250.8 Diabetes with other specified manifestations
[0-3]
Diabetic hypoglycemia NOS
Hypoglycemic shock NOS
Use additional code to identify manifestation, as:
any associated ulceration (707.10-707.9)
diabetic bone changes (731.8) |
| 250.9 Diabetes with unspecified complication
[0-3] |