ICD-10-CM › E00-E89 › E08-E13 › E08.3 Diabetes mellitus due to... › E08.35

E08.35

Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 6 more specific codes instead:

  • E08.351 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema (also a header)
  • E08.352 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula (also a header)
  • E08.353 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula (also a header)
  • E08.354 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment (also a header)
  • E08.355 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy (also a header)
  • E08.359 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema (also a header)

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

  1. FY2012 Added to the draft code set draft Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from E08 Diabetes mellitus due to underlying condition

Excludes1 - never coded here

  • drug or chemical induced diabetes mellitus (E09.-)
  • gestational diabetes (O24.4-)
  • neonatal diabetes mellitus (P70.2)
  • postpancreatectomy diabetes mellitus (E13.-)
  • postprocedural diabetes mellitus (E13.-)
  • secondary diabetes mellitus NEC (E13.-)
  • type 1 diabetes mellitus (E10.-)
  • type 2 diabetes mellitus (E11.-)

Use additional code

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

Code first

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

Codes in the same group

CodeDescriptionStatus
E08.31 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy Not billable
E08.32 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy Not billable
E08.33 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy Not billable
E08.34 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy Not billable
E08.36 Diabetes mellitus due to underlying condition with diabetic cataract Valid
E08.37 Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment Not billable
E08.39 Diabetes mellitus due to underlying condition with other diabetic ophthalmic complication Valid