ICD-10-CM Codes
E00-E89 Endocrine, nutritional and metabolic diseases
E08-E13 Diabetes mellitus
E11- Type 2 diabetes mellitus

2020 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

2020

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 2020 edition of ICD-10-CM E11.3542 became effective on October 1, 2019.
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
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
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 v37.0):

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
2020 (effective 10/1/2019): 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.

2020 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

Endocrine, nutritional and metabolic diseases

Type 2 diabetes mellitus