2019 ICD-10-CM Diagnosis Code E13.351

Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema

    2016 2017 - Converted to Parent Code 2018 2019 Non-Billable/Non-Specific Code
  • E13.351 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • Short description: Oth diabetes w prolif diabetic retinopathy w macular edema
  • The 2019 edition of ICD-10-CM E13.351 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of E13.351 - other international versions of ICD-10 E13.351 may differ.
The following code(s) above E13.351 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 E13.351:
  • 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
  • E13
    ICD-10-CM Diagnosis Code E13

    Other specified diabetes mellitus

      2016 2017 2018 2019 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
  • Proliferative retinopathy with macular edema due to secondary diabetes mellitus
  • Secondary diabetes with macular edema
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

Diagnosis Index entries containing back-references to E13.351:
  • Diabetes, diabetic (mellitus) (sugar) E11.9
    ICD-10-CM Diagnosis Code E11.9

    Type 2 diabetes mellitus without complications

      2016 2017 2018 2019 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 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 Billable/Specific Code
          • proliferative E13.359
            ICD-10-CM Diagnosis Code E13.359

            Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema

              2016 2017 - Deleted Code 2017 - New Code 2018 2019 Non-Billable/Non-Specific Code
            • with
              • macular edema E13.351

ICD-10-CM Codes Adjacent To E13.351
E13.3411 …… right eye
E13.3412 …… left eye
E13.3413 …… bilateral
E13.3419 …… unspecified eye
E13.349 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema
E13.3491 …… right eye
E13.3492 …… left eye
E13.3493 …… bilateral
E13.3499 …… unspecified eye
E13.35 Other specified diabetes mellitus with proliferative diabetic retinopathy
E13.351 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema
E13.3511 …… right eye
E13.3512 …… left eye
E13.3513 …… bilateral
E13.3519 …… unspecified eye
E13.352 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula
E13.3521 …… right eye
E13.3522 …… left eye
E13.3523 …… bilateral
E13.3529 …… unspecified eye
E13.353 Other specified 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.