2020

  1. ICD-10-CM Codes
    2. ›
  2. E00-E89 Endocrine, nutritional and metabolic diseases
    3. ›
  3. E08-E13 Diabetes mellitus
    4. ›
  4. E11- Type 2 diabetes mellitus
    5. ›
  5. 2020 ICD-10-CM Diagnosis Code E11.3

2020 ICD-10-CM Diagnosis Code E11.3

Type 2 diabetes mellitus with ophthalmic complications

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • E11.3 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM E11.3 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of E11.3 - other international versions of ICD-10 E11.3 may differ.
The following code(s) above E11.3 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to E11.3:
  • E00-E89
    2020 ICD-10-CM Range E00-E89

    Endocrine, nutritional and metabolic diseases

    Note
    • 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.
    Type 1 Excludes
    • transitory endocrine and metabolic disorders specific to newborn (P70-P74)
    Endocrine, nutritional and metabolic diseases
  • E11
    ICD-10-CM Diagnosis Code E11

    Type 2 diabetes mellitus

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • diabetes (mellitus) due to insulin secretory defect
    • diabetes NOS
    • insulin resistant diabetes (mellitus)
    Type 1 Excludes
    • 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 to identify control using:
    • insulin (Z79.4)
    • oral antidiabetic drugs (Z79.84)
    • oral hypoglycemic drugs (Z79.84)
    Type 2 diabetes mellitus
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to E11.3:
  • Type 1 Excludes: H36
    ICD-10-CM Diagnosis Code H36

    Retinal disorders in diseases classified elsewhere

      2016 2017 2018 2019 2020 Billable/Specific Code Manifestation Code
    Code First
    • underlying disease, such as:
    • lipid storage disorders (E75.-)
    • sickle-cell disorders (D57.-)
    Type 1 Excludes
ICD-10-CM Codes Adjacent To E11.3
E11.0 Type 2 diabetes mellitus with hyperosmolarity
E11.00 …… without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E11.01 …… with coma
E11.1 Type 2 diabetes mellitus with ketoacidosis
E11.10 …… without coma
E11.11 …… with coma
E11.2 Type 2 diabetes mellitus with kidney complications
E11.21 Type 2 diabetes mellitus with diabetic nephropathy
E11.22 Type 2 diabetes mellitus with diabetic chronic kidney disease
E11.29 Type 2 diabetes mellitus with other diabetic kidney complication
E11.3 Type 2 diabetes mellitus with ophthalmic complications
E11.31 Type 2 diabetes mellitus with unspecified diabetic retinopathy
E11.311 …… with macular edema
E11.319 …… without macular edema
E11.32 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy
E11.321 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema
E11.3211 …… right eye
E11.3212 …… left eye
E11.3213 …… bilateral
E11.3219 …… unspecified eye
E11.329 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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