ICD-10-CM › E00-E89 › E08-E13 › E13.3 Other specified diabetes mellitus... › E13.34

E13.34

Other specified diabetes mellitus with severe nonproliferative 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 2 more specific codes instead:

  • E13.341 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema (also a header)
  • E13.349 Other specified diabetes mellitus with severe nonproliferative 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 Other specified diabetes mellitus with severe nonproliferative 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 E13 Other specified diabetes mellitus

Excludes1 - never coded here

  • diabetes (mellitus) due to autoimmune process (E10.-)
  • diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction (E10.-)
  • diabetes mellitus due to underlying condition (E08.-)
  • drug or chemical induced diabetes mellitus (E09.-)
  • gestational diabetes (O24.4-)
  • neonatal diabetes mellitus (P70.2)
  • type 1 diabetes mellitus (E10.-)

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)

Includes

  • 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

Codes in the same group

CodeDescriptionStatus
E13.31 Other specified diabetes mellitus with unspecified diabetic retinopathy Not billable
E13.32 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy Not billable
E13.33 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy Not billable
E13.35 Other specified diabetes mellitus with proliferative diabetic retinopathy Not billable
E13.36 Other specified diabetes mellitus with diabetic cataract Valid
E13.37 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment Not billable
E13.39 Other specified diabetes mellitus with other diabetic ophthalmic complication Valid