E13.35 — Other specified diabetes mellitus with proliferative diabetic retinopathy
Is E13.35 billable?
No — E13.35 is a non-billable header code. E13.35 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 E13.35.
Billable codes under this header
- E13.3511Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
- E13.3512Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
- E13.3513Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
- E13.3519Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
- E13.3521Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
- E13.3522Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
- E13.3523Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
- E13.3529Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
- E13.3531Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
- E13.3532Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
- E13.3533Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
- E13.3539Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
- E13.3541Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
- E13.3542Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
- E13.3543Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
- E13.3549Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
- E13.3551Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eye
- E13.3552Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eye
- E13.3553Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
- E13.3559Other specified diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
- E13.3591Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
- E13.3592Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
- E13.3593Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
- E13.3599Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
E13.35 at a glance
| Code | E13.35 |
|---|---|
| Description | Other specified diabetes mellitus 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 E13.35 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 E13
The conditions below can never be reported together with E13.35 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- 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 E13.35 to fully describe the condition. E13.35 is sequenced first.
What codes fall under E13.35? (6)
- E13.351Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edemanot billable
- E13.352Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the maculanot billable
- E13.353Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the maculanot billable
- E13.354Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachmentnot billable
- E13.355Other specified diabetes mellitus with stable proliferative diabetic retinopathynot billable
- E13.359Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edemanot billable
How long has E13.35 existed?
E13.35 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 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
- E13.34Other specified diabetes mellitus with severe nonproliferative 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