ICD-10 Code E09.22 – Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code E09.22 – Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease
What it is
This code identifies diabetes caused by a drug or chemical, with documented chronic kidney disease. Use it when the diabetes and kidney disease are both recorded and linked to the same medication or substance exposure.
Clinical signs
Clinical features vary; refer to documentation. You should see evidence of diabetes in the setting of drug or chemical exposure, plus chronic kidney disease noted in the record.
When to use this code
Use E09.22 when the provider documents drug- or chemical-induced diabetes mellitus and also specifies diabetic chronic kidney disease. This fits cases where the kidney disease is part of the diabetes complication picture, not merely a separate renal diagnosis. Check documentation for the causal agent and the CKD relationship.
Do not use for
Do not use this code for type 1 or type 2 diabetes, or for diabetes without chronic kidney disease. Avoid it if the record does not clearly link the diabetes to a drug or chemical cause.
Coding tip
Assign the code only when both the induced diabetes and CKD are documented; if the cause or kidney involvement is unclear, check documentation.