E08.35 — Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy
Is E08.35 billable?
No — E08.35 is a non-billable header code. E08.35 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 24 billable codes beneath E08.35.
Billable codes under this header
- E08.3511Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, right eye
- E08.3512Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, left eye
- E08.3513Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, bilateral
- E08.3519Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, unspecified eye
- E08.3521Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
- E08.3522Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
- E08.3523Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
- E08.3529Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
- E08.3531Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
- E08.3532Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
- E08.3533Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
- E08.3539Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
- E08.3541Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
- E08.3542Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
- E08.3543Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
- E08.3549Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
- E08.3551Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, right eye
- E08.3552Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, left eye
- E08.3553Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, bilateral
- E08.3559Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, unspecified eye
- E08.3591Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, right eye
- E08.3592Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, left eye
- E08.3593Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, bilateral
- E08.3599Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, unspecified eye
E08.35 at a glance
| Code | E08.35 |
|---|---|
| Description | Diabetes mellitus due to underlying condition with proliferative 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 E08.35 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 E08.35 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 E08.35. E08.35 describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from E08
Report an additional code alongside E08.35 to fully describe the condition. E08.35 is sequenced first.
What codes fall under E08.35? (6)
- E08.351Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edemanot billable
- E08.352Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the maculanot billable
- E08.353Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the maculanot billable
- E08.354Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachmentnot billable
- E08.355Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathynot billable
- E08.359Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edemanot billable
How long has E08.35 existed?
E08.35 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)
- E08.31Diabetes mellitus due to underlying condition with unspecified diabetic retinopathynot billable
- 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
- E08.36Diabetes 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