icd10free.comPowered by Curo

ICD-10 Coding for Diabetic Retinopathy(E11.3293, E11.329, E11.3413)

Save

Comprehensive guide to ICD-10 coding for diabetic retinopathy, including code ranges, documentation requirements, and common pitfalls.

Also known as:
Diabetic Eye DiseaseDiabetic Retinal Diseasediabetes with retinopathy
Related ICD-10 Code Ranges

Complete code families applicable to Diabetic Retinopathy

E00-E89Primary Range

Endocrine, nutritional and metabolic diseases

→
Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescription
E11.3293Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
E11.3413Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
Primary ICD-10-CM Codes
Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
E11.3293Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Type 2 diabetes mellitus with severe NPDR with macular edema, bilateralE11.3413
Type 2 diabetes mellitus with mild NPDR without macular edema, bilateralE11.3293

Documentation & Coding Risks

Avoid these common issues when documenting Diabetic Retinopathy.

Failing to document laterality of retinopathy.

Impact

Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.

Mitigation

Always specify which eye(s) are affected., Use bilateral codes when applicable.

Using unspecified codes when specific details are available.

Impact

Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases the accuracy of health records.

Mitigation

Always document and code the specific type and severity of retinopathy.

Inaccurate coding of retinopathy severity

Impact

Coding does not match documented clinical findings.

Mitigation

Regular training on documentation and coding standards.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with E11.3293.