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E11.35
Non-billable

Type 2 diabetes mellitus with proliferative diabetic retinopathy

Chapter 4: Endocrine, nutritional and metabolic diseases

Coding Guidance

E11.35 should not be used for reimbursement purposes as there are more specific codes below it that contain a greater level of detail. See Related Codes to drill down to more specific billable codes for appropriate reimbursement.

7th Character Information

One of the following 7th characters is to be assigned to codes in subcategory E11.35 to designate laterality of the disease:

7th Character Values:

  • 1: right eye
  • 2: left eye
  • 3: bilateral
  • 9: unspecified eye

Additional Information from Parent Codes

The following information may apply to this code from its parent codes in the ICD-10 hierarchy. This information is important for proper coding and classification.

Includes

3 items

From E11:

  • diabetes (mellitus) due to insulin secretory defect
  • diabetes NOS
  • insulin resistant diabetes (mellitus)

Excludes1

9 items

From E00-E89:

  • transitory endocrine and metabolic disorders specific to newborn (P70-P74)

From E11:

  • diabetes mellitus due to underlying condition (E08.-)
  • drug or chemical induced diabetes mellitus (E09.-)
  • gestational diabetes (O24.4-)
  • neonatal diabetes mellitus (P70.2)
  • postpancreatectomy diabetes mellitus (E13.-)
  • postprocedural diabetes mellitus (E13.-)
  • secondary diabetes mellitus NEC (E13.-)
  • type 1 diabetes mellitus (E10.-)

Use Additional Code

5 items

From E11:

  • 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)

Notes

1 item

From E00-E89:

  • 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.
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