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E13.35 Non-Billable Code

Other specified diabetes mellitus with proliferative diabetic retinopathy

Chapter Classification

Chapter 4 Endocrine, nutritional and metabolic diseases (E00-E89)

Section Detail

E08-E13 Diabetes mellitus (E08-E13)

Code Hierarchy

This code is a child of E13.3.

As a non-billable code, it requires more specific digits to be used on a medical claim.

Coding Guidelines & Notes

sevenChrDef
  • {'char': '1', 'text': 'right eye'}
  • {'char': '2', 'text': 'left eye'}
  • {'char': '3', 'text': 'bilateral'}
  • {'char': '9', 'text': 'unspecified eye'}
sevenChrNote
  • One of the following 7th characters is to be assigned to codes in subcategory E13.35 to designate laterality of the disease:

More Specific Diagnosis Codes

This code is not billable as it requires a higher level of specificity. Select a more specific code below.

  • E13.351 - Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema Billable
  • E13.352 - Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula Billable
  • E13.353 - Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula Billable
  • E13.354 - Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment Billable
  • E13.355 - Other specified diabetes mellitus with stable proliferative diabetic retinopathy Billable
  • E13.359 - Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema Billable

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