E13.34 — Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy
Is E13.34 billable?
No — E13.34 is a non-billable header code. E13.34 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 8 billable codes beneath E13.34.
Billable codes under this header
- E13.3411Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
- E13.3412Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
- E13.3413Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
- E13.3419Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
- E13.3491Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
- E13.3492Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
- E13.3493Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
- E13.3499Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
E13.34 at a glance
| Code | E13.34 |
|---|---|
| Description | Other specified diabetes mellitus with severe nonproliferative 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 E13.34 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 E13
The conditions below can never be reported together with E13.34 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- diabetes (mellitus) due to autoimmune process (E10.-)
- diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction (E10.-)
- diabetes mellitus due to underlying condition (E08.-)
- drug or chemical induced diabetes mellitus (E09.-)
- gestational diabetes (O24.4-)
- neonatal diabetes mellitus (P70.2)
- type 1 diabetes mellitus (E10.-)
Use additional code — inherited from E13
Report an additional code alongside E13.34 to fully describe the condition. E13.34 is sequenced first.
What codes fall under E13.34? (2)
How long has E13.34 existed?
E13.34 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 E13.3 family? (7)
- E13.31Other specified diabetes mellitus with unspecified diabetic retinopathynot billable
- E13.32Other specified diabetes mellitus with mild nonproliferative diabetic retinopathynot billable
- E13.33Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathynot billable
- E13.35Other specified diabetes mellitus with proliferative diabetic retinopathynot billable
- E13.36Other specified diabetes mellitus with diabetic cataract
- E13.37Other specified diabetes mellitus with diabetic macular edema, resolved following treatmentnot billable
- E13.39Other specified diabetes mellitus with other diabetic ophthalmic complication