2021 ICD-10-CM Diagnosis Code E11.351

Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema

    2016 2017 - Converted to Parent Code 2018 2019 2020 2021 Non-Billable/Non-Specific Code
  • E11.351 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • Short description: Type 2 diabetes w prolif diabetic rtnop w macular edema
  • The 2021 edition of ICD-10-CM E11.351 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of E11.351 - other international versions of ICD-10 E11.351 may differ.
The following code(s) above E11.351 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 E11.351:
  • E00-E89
    2021 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 2021 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
Approximate Synonyms
  • Diabetes 2 with retinopathy and retinal edema
  • Proliferative retinopathy and retinal edema due to type 2 diabetes mellitus
  • Proliferative retinopathy with retinal edema due to 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): Deleted code
  • 2017 (effective 10/1/2016): New code
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change

Diagnosis Index entries containing back-references to E11.351:
  • Diabetes, diabetic (mellitus) (sugar) E11.9
    ICD-10-CM Diagnosis Code E11.9

    Type 2 diabetes mellitus without complications

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Questionable As Admission Dx
    • with
      • retinopathy E11.319
        ICD-10-CM Diagnosis Code E11.319

        Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        • proliferative E11.359
          ICD-10-CM Diagnosis Code E11.359

          Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema

            2016 2017 - Converted to Parent Code 2018 2019 2020 2021 Non-Billable/Non-Specific Code
          • with
            • macular edema E11.351
    • type 2 E11.9
      ICD-10-CM Diagnosis Code E11.9

      Type 2 diabetes mellitus without complications

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Questionable As Admission Dx
      • with
        • retinopathy E11.319
          ICD-10-CM Diagnosis Code E11.319

          Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
          • proliferative E11.359
            ICD-10-CM Diagnosis Code E11.359

            Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema

              2016 2017 - Converted to Parent Code 2018 2019 2020 2021 Non-Billable/Non-Specific Code
            • with
              • macular edema E11.351

ICD-10-CM Codes Adjacent To E11.351
E11.3411 …… right eye
E11.3412 …… left eye
E11.3413 …… bilateral
E11.3419 …… unspecified eye
E11.349 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema
E11.3491 …… right eye
E11.3492 …… left eye
E11.3493 …… bilateral
E11.3499 …… unspecified eye
E11.35 Type 2 diabetes mellitus with proliferative diabetic retinopathy
E11.351 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema
E11.3511 …… right eye
E11.3512 …… left eye
E11.3513 …… bilateral
E11.3519 …… unspecified eye
E11.352 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula
E11.3521 …… right eye
E11.3522 …… left eye
E11.3523 …… bilateral
E11.3529 …… unspecified eye
E11.353 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula

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