ICD-10-CM › E00-E89 › E08-E13 › E13.35 Other specified diabetes mellitus... › E13.351

E13.351

Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema

Not billableICD-10-CM diagnosis code.

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

Billable FY2016 only, and a category header from FY2017.

Submit one of these 4 more specific codes instead:

  • E13.3511 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
  • E13.3512 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
  • E13.3513 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
  • E13.3519 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye

Use instead:

  • E13.3521 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye stated for FY2016
  • E13.3522 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye stated for FY2016
  • E13.3523 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral stated for FY2016
  • E13.3529 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye stated for FY2016
  • E13.3531 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye stated for FY2016
  • E13.3532 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye stated for FY2016
  • E13.3533 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral stated for FY2016
  • E13.3539 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye stated for FY2016
  • E13.3541 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye stated for FY2016
  • E13.3542 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye stated for FY2016
  • E13.3543 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral stated for FY2016
  • E13.3549 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye stated for FY2016
  • E13.3551 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eye stated for FY2016
  • E13.3552 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eye stated for FY2016
  • E13.3553 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateral stated for FY2016
  • E13.3559 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye stated for FY2016

What has happened to this code

Every change the publisher made, from 2007 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. FY2007 Added to the draft code set draft Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema
  2. FY2017 Stopped being billable

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

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Showing 40 of 109 index phrases.

Codes in the same group

CodeDescriptionStatus
E13.352 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula Not billable
E13.353 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula Not billable
E13.354 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment Not billable
E13.355 Other specified diabetes mellitus with stable proliferative diabetic retinopathy Not billable
E13.359 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema Not billable