E08.3559

Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, unspecified eye

Billable / specificHCC V28 37HCC V28 298

E08.3559 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes (from E08)

  • Note: All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.

Excludes1

Not coded here — never report together with this code.

  • transitory endocrine and metabolic disorders specific to newborn (P70-P74) (from E08)
  • drug or chemical induced diabetes mellitus (E09.-) (from E08)
  • gestational diabetes (O24.4-) (from E08)
  • neonatal diabetes mellitus (P70.2) (from E08)
  • postpancreatectomy diabetes mellitus (E13.-) (from E08)
  • postprocedural diabetes mellitus (E13.-) (from E08)
  • secondary diabetes mellitus NEC (E13.-) (from E08)
  • type 1 diabetes mellitus (E10.-) (from E08)
  • type 2 diabetes mellitus (E11.-) (from E08)

Code first

Sequence the underlying condition first.

  • the underlying condition, such as: (from E08)
  • congenital rubella (P35.0) (from E08)
  • Cushing's syndrome (E24.-) (from E08)
  • cystic fibrosis (E84.-) (from E08)
  • malignant neoplasm (C00-C96) (from E08)
  • malnutrition (E40-E46) (from E08)
  • pancreatitis and other diseases of the pancreas (K85-K86.-) (from E08)

Use additional code

Add a code to identify the following, if applicable.

  • code to identify control using: (from E08)
  • injectable non-insulin antidiabetic drugs (Z79.85) (from E08)
  • insulin (Z79.4) (from E08)
  • oral antidiabetic drugs (Z79.84) (from E08)
  • oral hypoglycemic drugs (Z79.84) (from E08)

7th character

The 7th character values that apply to this code (defined at E08.35). Use the placeholder "X" for missing positions.

CharacterMeaning
1right eye
2left eye
3bilateral
9unspecified eye

Parent code

  • E08.355Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathyNeeds 7th char

Related codes

  • E08.3551Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, right eyeBillable
  • E08.3552Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, left eyeBillable
  • E08.3553Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, bilateralBillable

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