I have a 2010 Ingenix book at the moment that leads me to 249.0, specifically. Diabetes, steroid induced in the alphabetic directs you to See Diabetes, Secondary, which is associated with 249.0. In the tabular, 249.0 is Secondary diabetes mellitus without mention of complication (or manifestation classifiable to 249.1-249.9):
Secondary diabetes NOS
And there's also a note underneath that says "Drug/chemical induced diabetes mellitus w/o comp", but that may be unique to this ICD-9 publication.
I don't believe that 251.8 gives the indication that the patient has diabetes, or what caused it. Almost every other code in the Other Disorders of Pancreatic Internal Secretion (251) section specifically exclude glycemic conditions associated with diabetes, which makes me think that the section is devoted to non-diabetic diseases that happen to mimic diabetic symptoms, but I could be wrong.
The study books aren't always kept up to date with the code changes - it just depends on when the edition is released. It would be really difficult to update them every year, I suppose. The one I used to study for the CPMA exam was the recommended version until this year, and it still had references to CPT 90772, which changed to 96372 in 2009. Trust your code books. The tests are updated annually.
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