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2009 ICD-9-CM
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249 Secondary diabetes mellitus
Includes: diabetes mellitus (due to) (in) (secondary) (with):
drug-induced or chemical induced
infection
Excludes: gestational diabetes (648.8)
hyperglycemia NOS (790.29)
neonatal diabetes mellitus (775.1)
nonclinical diabetes (790.29)
Type I diabetes - see category 250
Type II diabetes - see category 250
The following fifth-digit subclassification is for use with category 249:
0 not stated as uncontrolled
1 uncontrolled
Use additional code to identify any associated insulin use ( V58.67) | |
 | 249.0 Secondary diabetes mellitus without mention of complication
[0-1]
Secondary diabetes mellitus without mention of complication or manifestation classifiable to 249.1-249.9
Secondary diabetes mellitus NOS |
| 249.1 Secondary diabetes mellitus with ketoacidosis
[0-1]
Secondary diabetes mellitus with diabetic acidosis without mention of coma
Secondary diabetes mellitus with diabetic ketosis without mention of coma |
| 249.2 Secondary diabetes mellitus with hyperosmolarity
[0-1]
Secondary diabetes mellitus with hyperosmolar (nonketotic) coma |
| 249.3 Secondary diabetes mellitus with other coma
[0-1]
Secondary diabetes mellitus with diabetic coma (with ketoacidosis)
Secondary diabetes mellitus with diabetic hypoglycemic coma
Secondary diabetes mellitus with insulin coma NOS
Excludes: secondary diabetes mellitus with hyperosmolar coma (249.2) |
| 249.4 Secondary diabetes mellitus with renal manifestations
[0-1]
Use additional code to identify manifestation, as:
chronic kidney disease (585.1-585.9)
diabetic nephropathy NOS (583.81)
diabetic nephrosis (581.81)
intercapillary glomerulosclerosis (581.81)
Kimmelstiel-Wilson syndrome (581.81) |
| 249.5 Secondary diabetes mellitus with ophthalmic manifestations
[0-1]
Use additional code to identify manifestation, as:
diabetic blindness (369.00-369.9)
diabetic cataract (366.41)
diabetic glaucoma (365.44)
diabetic macular edema (362.07)
diabetic retinal edema (362.07)
diabetic retinopathy (362.01-362.07) |
| 249.6 Secondary diabetes mellitus with neurological manifestations
[0-1]
Use additional code to identify manifestation, as:
diabetic amyotrophy (353.5)
diabetic gastroparalysis (536.3)
diabetic gastroparesis (536.3)
diabetic mononeuropathy (354.0-355.9)
diabetic neurogenic arthropathy (713.5)
diabetic peripheral autonomic neuropathy (337.1)
diabetic polyneuropathy (357.2) |
| 249.7 Secondary diabetes mellitus with peripheral circulatory disorders
[0-1]
Use additional code to identify manifestation, as:
diabetic gangrene (785.4)
diabetic peripheral angiopathy (443.81) |
| 249.8 Secondary diabetes mellitus with other specified manifestations
[0-1]
Secondary diabetic hypoglycemia in diabetes mellitus
Secondary hypoglycemic shock in diabetes mellitus
Use additional code to identify manifestation, as:
any associated ulceration (707.10-707.9)
diabetic bone changes (731.8) |
| 249.9 Secondary diabetes mellitus with unspecified complication
[0-1] |