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ICD-10-CM · FY 2026 APRIL UPDATE

E13.35

Other specified 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
E13.351Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edemaCategory
E13.3511Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eyeBillable
E13.3512Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eyeBillable
E13.3513Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateralBillable
E13.3519Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eyeBillable
E13.352Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the maculaCategory
E13.3521Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eyeBillable
E13.3522Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eyeBillable
E13.3523Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateralBillable
E13.3529Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eyeBillable
E13.353Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the maculaCategory
E13.3531Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eyeBillable
E13.3532Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eyeBillable
E13.3533Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateralBillable
E13.3539Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eyeBillable
E13.354Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachmentCategory
E13.3541Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eyeBillable
E13.3542Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eyeBillable
E13.3543Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateralBillable
E13.3549Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eyeBillable
E13.355Other specified diabetes mellitus with stable proliferative diabetic retinopathyCategory
E13.3551Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eyeBillable
E13.3552Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eyeBillable
E13.3553Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateralBillable
E13.3559Other specified diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eyeBillable
E13.359Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edemaCategory
E13.3591Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eyeBillable
E13.3592Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eyeBillable
E13.3593Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateralBillable
E13.3599Other specified diabetes mellitus 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.