E08.31 — Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy
Is E08.31 billable?
No — E08.31 is a non-billable header code. E08.31 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 2 billable codes beneath E08.31.
E08.31 at a glance
| Code | E08.31 |
|---|---|
| Description | Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from Chapter 4
The conditions below can never be reported together with E08.31 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- transitory endocrine and metabolic disorders specific to newborn (P70-P74)
Excludes1 — never code together — inherited from E08
The conditions below can never be reported together with E08.31 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- drug or chemical induced diabetes mellitus (E09.-)
- gestational diabetes (O24.4-)
- neonatal diabetes mellitus (P70.2)
- postpancreatectomy diabetes mellitus (E13.-)
- postprocedural diabetes mellitus (E13.-)
- secondary diabetes mellitus NEC (E13.-)
- type 1 diabetes mellitus (E10.-)
- type 2 diabetes mellitus (E11.-)
Code first — inherited from E08
The underlying condition below must be sequenced before E08.31. E08.31 describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from E08
Report an additional code alongside E08.31 to fully describe the condition. E08.31 is sequenced first.
What codes fall under E08.31? (2)
How long has E08.31 existed?
E08.31 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the E08.3 family? (7)
- E08.32Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathynot billable
- E08.33Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathynot billable
- E08.34Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathynot billable
- E08.35Diabetes mellitus due to underlying condition with proliferative diabetic retinopathynot billable
- E08.36Diabetes mellitus due to underlying condition with diabetic cataract
- E08.37Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatmentnot billable
- E08.39Diabetes mellitus due to underlying condition with other diabetic ophthalmic complication