ICD-9-CM

DISEASES OF OTHER ENDOCRINE GLANDS (249-259)

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 (707.10-707.19, 707.8, 707.9) diabetic bone changes (731.8)
249.9: Secondary diabetes mellitus with unspecified complication [0-1]

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 (707.10-707.19, 707.8, 707.9)

diabetic bone changes (731.8)

249.9: Secondary diabetes mellitus with unspecified complication

[0-1]

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