2020 ICD-10-CM Diagnosis Code E13.311

Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema

    2016 2017 2018 2019 2020 Billable/Specific Code
  • E13.311 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Oth diabetes w unsp diabetic retinopathy w macular edema
  • The 2020 edition of ICD-10-CM E13.311 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of E13.311 - other international versions of ICD-10 E13.311 may differ.
The following code(s) above E13.311 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 E13.311:
  • 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
  • E13
    ICD-10-CM Diagnosis Code E13

    Other specified diabetes mellitus

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • diabetes mellitus due to genetic defects of beta-cell function
    • diabetes mellitus due to genetic defects in insulin action
    • postpancreatectomy diabetes mellitus
    • postprocedural diabetes mellitus
    • secondary diabetes mellitus NEC
    Type 1 Excludes
    • diabetes (mellitus) due to autoimmune process (E10.-)
    • diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction (E10.-)
    • diabetes mellitus due to underlying condition (E08.-)
    • drug or chemical induced diabetes mellitus (E09.-)
    • gestational diabetes (O24.4-)
    • neonatal diabetes mellitus (P70.2)
    • 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)
    Other specified diabetes mellitus
Approximate Synonyms
  • Retinopathy with macular edema due to secondary diabetes mellitus
  • Secondary diabetes with retinopathy with macular edema
ICD-10-CM E13.311 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 E13.311 to ICD-9-CM

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 E13.311:

Diagnosis Index entries containing back-references to E13.311:
  • Diabetes, diabetic (mellitus) (sugar) E11.9
    ICD-10-CM Diagnosis Code E11.9

    Type 2 diabetes mellitus without complications

      2016 2017 2018 2019 2020 Billable/Specific Code Questionable As Admission Dx
    • specified type NEC E13.9
      ICD-10-CM Diagnosis Code E13.9

      Other specified diabetes mellitus without complications

        2016 2017 2018 2019 2020 Billable/Specific Code Questionable As Admission Dx
      • with
        • retinopathy E13.319
          ICD-10-CM Diagnosis Code E13.319

          Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema

            2016 2017 2018 2019 2020 Billable/Specific Code
          • with macular edema E13.311

ICD-10-CM Codes Adjacent To E13.311
E13.01 …… with coma
E13.1 Other specified diabetes mellitus with ketoacidosis
E13.10 …… without coma
E13.11 …… with coma
E13.2 Other specified diabetes mellitus with kidney complications
E13.21 Other specified diabetes mellitus with diabetic nephropathy
E13.22 Other specified diabetes mellitus with diabetic chronic kidney disease
E13.29 Other specified diabetes mellitus with other diabetic kidney complication
E13.3 Other specified diabetes mellitus with ophthalmic complications
E13.31 Other specified diabetes mellitus with unspecified diabetic retinopathy
E13.311 …… with macular edema
E13.319 …… without macular edema
E13.32 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy
E13.321 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema
E13.3211 …… right eye
E13.3212 …… left eye
E13.3213 …… bilateral
E13.3219 …… unspecified eye
E13.329 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema
E13.3291 …… right eye
E13.3292 …… left eye

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