ICD-10-CM › E00-E89 › E08-E13 › E10.3 Type 1 diabetes mellitus with... › E10.35

E10.35

Type 1 diabetes mellitus 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:

  • E10.351 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema (also a header)
  • E10.352 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula (also a header)
  • E10.353 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula (also a header)
  • E10.354 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment (also a header)
  • E10.355 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy (also a header)
  • E10.359 Type 1 diabetes mellitus 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 Type 1 diabetes mellitus 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 E10 Type 1 diabetes mellitus

Excludes1 - never coded here

  • diabetes mellitus due to underlying condition (E08.-)
  • drug or chemical induced diabetes mellitus (E09.-)
  • gestational diabetes (O24.4-)
  • hyperglycemia NOS (R73.9)
  • neonatal diabetes mellitus (P70.2)
  • postpancreatectomy diabetes mellitus (E13.-)
  • postprocedural diabetes mellitus (E13.-)
  • secondary diabetes mellitus NEC (E13.-)
  • type 2 diabetes mellitus (E11.-)

Includes

  • 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)

Codes in the same group

CodeDescriptionStatus
E10.31 Type 1 diabetes mellitus with unspecified diabetic retinopathy Not billable
E10.32 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy Not billable
E10.33 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy Not billable
E10.34 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy Not billable
E10.36 Type 1 diabetes mellitus with diabetic cataract Valid
E10.37 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment Not billable
E10.39 Type 1 diabetes mellitus with other diabetic ophthalmic complication Valid