Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
Billable / specificHCC V28 37HCC V28 298
E10.3511 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 E10)
- brittle diabetes (mellitus)
- diabetes (mellitus) due to autoimmune process
- diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction
- idiopathic diabetes (mellitus)
- juvenile onset diabetes (mellitus)
- ketosis-prone diabetes (mellitus)
- 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 E10)
- diabetes mellitus due to underlying condition (E08.-) (from E10)
- drug or chemical induced diabetes mellitus (E09.-) (from E10)
- gestational diabetes (O24.4-) (from E10)
- hyperglycemia NOS (R73.9) (from E10)
- neonatal diabetes mellitus (P70.2) (from E10)
- postpancreatectomy diabetes mellitus (E13.-) (from E10)
- postprocedural diabetes mellitus (E13.-) (from E10)
- secondary diabetes mellitus NEC (E13.-) (from E10)
- type 2 diabetes mellitus (E11.-) (from E10)
7th character
The 7th character values that apply to this code (defined at E10.35). Use the placeholder "X" for missing positions.
| Character | Meaning |
|---|---|
| 1 | right eye |
| 2 | left eye |
| 3 | bilateral |
| 9 | unspecified eye |
Parent code
- E10.351Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edemaNeeds 7th char
Related codes
- E10.3512Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eyeBillable
- E10.3513Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateralBillable
- E10.3519Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eyeBillable