ICD-10-CM › E00-E89 › E08-E13 › E13.35 Other specified diabetes mellitus... › E13.359

E13.359

Other specified diabetes mellitus with proliferative diabetic retinopathy without 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:

  • E13.3591 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
  • E13.3592 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
  • E13.3593 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
  • E13.3599 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye

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 without 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
E13.351 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema Not billable
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