2019

  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. ›

2019 ICD-10-CM Diagnosis Code E11.3542

Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye

    2017 - New Code 2018 2019 Billable/Specific Code
  • E11.3542 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Type 2 diab with prolif diab rtnop with comb detach, l eye
  • The 2019 edition of ICD-10-CM E11.3542 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of E11.3542 - other international versions of ICD-10 E11.3542 may differ.
The following code(s) above E11.3542 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 E11.3542:
  • E00-E89
    2019 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 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
ICD-10-CM E11.3542 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 008 Simultaneous pancreas and kidney transplant
  • 010 Pancreas transplant
  • 124 Other disorders of the eye with mcc
  • 125 Other disorders of the eye without mcc

Convert E11.3542 to ICD-9-CM

Code History
  • 2017 (effective 10/1/2016): New code
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
ICD-10-CM Codes Adjacent To E11.3542
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
E11.3531 …… right eye
E11.3532 …… left eye
E11.3533 …… bilateral
E11.3539 …… unspecified eye
E11.354 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment
E11.3541 …… right eye
E11.3542 …… left eye
E11.3543 …… bilateral
E11.3549 …… unspecified eye
E11.355 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy
E11.3551 …… right eye
E11.3552 …… left eye
E11.3553 …… bilateral
E11.3559 …… unspecified eye
E11.359 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema
E11.3591 …… right eye
E11.3592 …… left eye

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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