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E13.351Non-billableSave

E13.351 - Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema

ICD-10-CM Chapter 4: Endocrine, nutritional and metabolic diseases · E08-E13 Diabetes mellitus (E08-E13) · Subcategory of E13.35 · FY2027

Coding Guidance

E13.351 requires a 7th character. Report the code below that matches the documentation, for example 1 for right eye, 2 for left eye, 3 for bilateral.

7th Character

One of the following 7th characters is to be assigned to codes in subcategory E13.35 to designate laterality of the disease:

Includes, Excludes and Coding Notes

IncludesFrom E13

Conditions this code covers.

  • 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
Excludes 1 — Not Coded HereFrom E13

Mutually exclusive: these conditions are never reported together with this code.

  • 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 CodeFrom E13

Add a secondary code to identify the associated condition or cause when it is documented.

  • 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)
Excludes 1 — Not Coded HereFrom Chapter E00-E89

Mutually exclusive: these conditions are never reported together with this code.

  • transitory endocrine and metabolic disorders specific to newborn (P70-P74)
NotesFrom Chapter E00-E89

Instructional notes from the ICD-10-CM tabular list.

  • All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.

More Specific Codes (4)

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

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with E13.351.