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ICD-10-CM · FY 2026 APRIL UPDATE

E11.35

Type 2 diabetes mellitus 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
E11.351Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edemaCategory
E11.3511Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eyeBillable
E11.3512Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eyeBillable
E11.3513Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateralBillable
E11.3519Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eyeBillable
E11.352Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the maculaCategory
E11.3521Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eyeBillable
E11.3522Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eyeBillable
E11.3523Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateralBillable
E11.3529Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eyeBillable
E11.353Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the maculaCategory
E11.3531Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eyeBillable
E11.3532Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eyeBillable
E11.3533Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateralBillable
E11.3539Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eyeBillable
E11.354Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachmentCategory
E11.3541Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eyeBillable
E11.3542Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eyeBillable
E11.3543Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateralBillable
E11.3549Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eyeBillable
E11.355Type 2 diabetes mellitus with stable proliferative diabetic retinopathyCategory
E11.3551Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eyeBillable
E11.3552Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eyeBillable
E11.3553Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateralBillable
E11.3559Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eyeBillable
E11.359Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edemaCategory
E11.3591Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eyeBillable
E11.3592Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eyeBillable
E11.3593Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateralBillable
E11.3599Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eyeBillable

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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.