ICD-10 Code E09.618 – Drug or chemical induced diabetes mellitus with other diabetic arthropathy (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code E09.618 – Drug or chemical induced diabetes mellitus with other diabetic arthropathy
What it is
This code identifies diabetes caused by a drug or chemical, along with a diabetic joint disorder that is not otherwise specified. Use it when documentation links the diabetes and the arthropathy to the same external cause.
Clinical signs
Clinical features vary; refer to documentation. You may see joint pain, stiffness, swelling, or reduced range of motion in a patient with documented drug- or chemical-induced diabetes.
When to use this code
Use E09.618 when the record states that a medication or chemical caused diabetes and also notes a diabetic arthropathy. Confirm that the joint problem is documented as diabetic and not simply degenerative, inflammatory, or traumatic. If the cause or joint diagnosis is unclear, check documentation.
Do not use for
Do not use this code for diabetes without a documented drug or chemical cause. Also avoid it when the arthropathy is unrelated to diabetes or when another more specific diabetic complication code is documented.
Coding tip
Code the external cause of diabetes only when the provider clearly links it, and verify that the arthropathy is described as diabetic before assigning E09.618.