E13.3512

Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye

Billable / specificHCC V28 37HCC V28 298

E13.3512 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 E13)

  • diabetes mellitus due to genetic defects of beta-cell function
  • diabetes mellitus due to genetic defects in insulin action
  • postpancreatectomy diabetes mellitus
  • postprocedural diabetes mellitus
  • secondary diabetes mellitus NEC
  • 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 E13)
  • diabetes (mellitus) due to autoimmune process (E10.-) (from E13)
  • diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction (E10.-) (from E13)
  • diabetes mellitus due to underlying condition (E08.-) (from E13)
  • drug or chemical induced diabetes mellitus (E09.-) (from E13)
  • gestational diabetes (O24.4-) (from E13)
  • neonatal diabetes mellitus (P70.2) (from E13)
  • type 1 diabetes mellitus (E10.-) (from E13)

Use additional code

Add a code to identify the following, if applicable.

  • code to identify control using: (from E13)
  • injectable non-insulin antidiabetic drugs (Z79.85) (from E13)
  • insulin (Z79.4) (from E13)
  • oral antidiabetic drugs (Z79.84) (from E13)
  • oral hypoglycemic drugs (Z79.84) (from E13)

7th character

The 7th character values that apply to this code (defined at E13.35). Use the placeholder "X" for missing positions.

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

Parent code

  • E13.351Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edemaNeeds 7th char

Related codes

  • E13.3511Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eyeBillable
  • E13.3513Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateralBillable
  • E13.3519Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eyeBillable

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