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ICD-10-CM · FY 2026 APRIL UPDATE

E08.35

Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy

Diagnosis reference

Nonbillable category

This entry is a category or subcategory. Choose the appropriate billable descendant based on the clinical documentation.

Effective periodOctober 1, 2026–September 30, 2027
SourceCMS ICD-10-CM order file
ClassificationDiagnosis · clinical modification

Related entries

Up to 30 descendants in this category

CODEDESCRIPTIONTYPE
E08.351Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edemaCategory
E08.3511Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, right eyeBillable
E08.3512Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, left eyeBillable
E08.3513Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, bilateralBillable
E08.3519Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, unspecified eyeBillable
E08.352Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the maculaCategory
E08.3521Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eyeBillable
E08.3522Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eyeBillable
E08.3523Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateralBillable
E08.3529Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eyeBillable
E08.353Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the maculaCategory
E08.3531Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eyeBillable
E08.3532Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eyeBillable
E08.3533Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateralBillable
E08.3539Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eyeBillable
E08.354Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachmentCategory
E08.3541Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eyeBillable
E08.3542Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eyeBillable
E08.3543Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateralBillable
E08.3549Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eyeBillable
E08.355Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathyCategory
E08.3551Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, right eyeBillable
E08.3552Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, left eyeBillable
E08.3553Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, bilateralBillable
E08.3559Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, unspecified eyeBillable
E08.359Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edemaCategory
E08.3591Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, right eyeBillable
E08.3592Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, left eyeBillable
E08.3593Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, bilateralBillable
E08.3599Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, unspecified eyeBillable

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This reference does not reproduce the full tabular hierarchy, inclusion notes, Excludes1/2 notes, sequencing instructions, or seventh-character rules. Review the official tables and coding guidelines.

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ICD-10-CM codes describe diagnoses. They do not have an independent Medicare PFS reimbursement amount, and billability alone does not establish coverage.