E11.3541

Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye

Billable / specificHCC V28 37HCC V28 298

E11.3541 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 E11)

  • diabetes (mellitus) due to insulin secretory defect
  • diabetes NOS
  • insulin resistant 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 E11)
  • diabetes mellitus due to underlying condition (E08.-) (from E11)
  • drug or chemical induced diabetes mellitus (E09.-) (from E11)
  • gestational diabetes (O24.4-) (from E11)
  • neonatal diabetes mellitus (P70.2) (from E11)
  • postpancreatectomy diabetes mellitus (E13.-) (from E11)
  • postprocedural diabetes mellitus (E13.-) (from E11)
  • secondary diabetes mellitus NEC (E13.-) (from E11)
  • type 1 diabetes mellitus (E10.-) (from E11)

Use additional code

Add a code to identify the following, if applicable.

  • code to identify control using: (from E11)
  • injectable non-insulin antidiabetic drugs (Z79.85) (from E11)
  • insulin (Z79.4) (from E11)
  • oral antidiabetic drugs (Z79.84) (from E11)
  • oral hypoglycemic drugs (Z79.84) (from E11)

7th character

The 7th character values that apply to this code (defined at E11.35). Use the placeholder "X" for missing positions.

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

Parent code

  • E11.354Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachmentNeeds 7th char

Related codes

  • E11.3542Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eyeBillable
  • E11.3543Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateralBillable
  • E11.3549Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eyeBillable

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