ICD-10-CM · FY 2026 APRIL UPDATE

E10.3

Type 1 diabetes mellitus with ophthalmic complications

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

CODE	DESCRIPTION	TYPE
E10.31	Type 1 diabetes mellitus with unspecified diabetic retinopathy	Category
E10.311	Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema	Billable
E10.319	Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema	Billable
E10.32	Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy	Category
E10.321	Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema	Category
E10.3211	Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye	Billable
E10.3212	Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye	Billable
E10.3213	Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral	Billable
E10.3219	Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye	Billable
E10.329	Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema	Category
E10.3291	Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye	Billable
E10.3292	Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye	Billable
E10.3293	Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral	Billable
E10.3299	Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye	Billable
E10.33	Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy	Category
E10.331	Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema	Category
E10.3311	Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye	Billable
E10.3312	Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye	Billable
E10.3313	Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral	Billable
E10.3319	Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye	Billable
E10.339	Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema	Category
E10.3391	Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye	Billable
E10.3392	Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye	Billable
E10.3393	Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral	Billable
E10.3399	Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye	Billable
E10.34	Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy	Category
E10.341	Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema	Category
E10.3411	Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye	Billable
E10.3412	Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye	Billable
E10.3413	Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral	Billable

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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.