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ICD-10-CM · FY 2026 APRIL UPDATE

E13.3

Other specified 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

CODEDESCRIPTIONTYPE
E13.31Other specified diabetes mellitus with unspecified diabetic retinopathyCategory
E13.311Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edemaBillable
E13.319Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edemaBillable
E13.32Other specified diabetes mellitus with mild nonproliferative diabetic retinopathyCategory
E13.321Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edemaCategory
E13.3211Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eyeBillable
E13.3212Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eyeBillable
E13.3213Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateralBillable
E13.3219Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eyeBillable
E13.329Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edemaCategory
E13.3291Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eyeBillable
E13.3292Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eyeBillable
E13.3293Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateralBillable
E13.3299Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eyeBillable
E13.33Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathyCategory
E13.331Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edemaCategory
E13.3311Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eyeBillable
E13.3312Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eyeBillable
E13.3313Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateralBillable
E13.3319Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eyeBillable
E13.339Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edemaCategory
E13.3391Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eyeBillable
E13.3392Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eyeBillable
E13.3393Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateralBillable
E13.3399Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eyeBillable
E13.34Other specified diabetes mellitus with severe nonproliferative diabetic retinopathyCategory
E13.341Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edemaCategory
E13.3411Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eyeBillable
E13.3412Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eyeBillable
E13.3413Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateralBillable

Use the complete reference

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.