Type 2 diabetes mellitus with other diabetic ophthalmic complication. E11.39 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM E11.39 became effective on October 1, 2018.
In ICD-10-CM, chapter 4, "Endocrine, nutritional and metabolic diseases (E00-E89)," includes a separate subchapter (block), Diabetes mellitus E08-E13, with the categories:
A diagnosis of type 2 diabetes in adolescence set patients up for increased risks of a myriad of related complications in early adulthood, a follow-up of the TODAY study showed. Of 500 youths diagnosed with type 2 diabetes, more than 60% experienced at ...
Prediabetes
While severe complications from diabetes insipidus are rare, the condition can lead to dangerous dehydration. Seek immediate medical care (call 911) for serious symptoms of dehydration, such as fever or sunken appearance of the eyes. Seek prompt medical care if persistent symptoms of diabetes insipidus occur, such as excessive thirst.
ICD-10-CM Code for Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema E11. 319.
ICD-10-CM Code for Type 2 diabetes mellitus with unspecified complications E11. 8.
319-349 Diabetic Retinopathy. Diabetic retinopathy is a disease manifestation of diabetes. The condition is defined as retinal changes associated with long-term diabetes.
ICD-10-CM Code for Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema E11. 311.
High blood sugar levels can seriously damage parts of your body, including your feet and your eyes. These are called diabetes complications. But you can take action to prevent or delay many of these side effects of diabetes.
Coding for Complications For a condition to be considered a complication, the following must be true: It must be more than an expected outcome or occurrence and show evidence that the provider evaluated, monitored, and treated the condition.
Diabetic retinopathy is a complication of diabetes, caused by high blood sugar levels damaging the back of the eye (retina). It can cause blindness if left undiagnosed and untreated. However, it usually takes several years for diabetic retinopathy to reach a stage where it could threaten your sight.
ICD-10-CM Code for Type 2 diabetes mellitus with diabetic nephropathy E11. 21.
Background diabetic retinopathy, also known as non-proliferative diabetic retinopathy (NPDR), is the early stage of diabetic retinopathy. This occurs when diabetes damages the small blood vessels and nerves in the retina. The retina acts like the film of the eye.
Even though the macula is part of the retina, macular edema is not a retinopathy. It's a complication of diabetic retinopathy or some other condition.
ICD-10-CM Code for Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema E11. 351.
Macular edema occurs when there is abnormal leakage and accumulation of fluid in the macula from damaged blood vessels in the nearby retina. A common cause of macular edema is diabetic retinopathy, a disease that can happen to people with diabetes.
Unspecified background retinopathy H35. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM H35. 00 became effective on October 1, 2021.
Retinopathy means disease of the retina. There are several types of retinopathy but all involve disease of the small retinal blood vessels. Signs of retinopathy (see photograph) can be seen when the retina is viewed through the pupil with an ophthalmoscope.
ICD-10-CM Code for Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral E11. 3213.
If “blindness” or “visual loss” is documented without any information about whether one or both eyes are affected, assign code H54. 7, Unspecified visual loss.
For gestational diabetes (diabetes that occurs during pregnancy) women should be assigned a code under the 024.4 subheading and not any other codes under the 024 category.
The code for long-term use of insulin, Z79.4, should also be used in these cases (unless insulin was just given to the patient as a one-time fix to bring blood sugar under control).
ICD-10 codes refer to the codes from the 10th Revision of the classification system. ICD-10 officially replaced ICD-9 in the US in October of 2015.
The switch to ICD-10 was a response to the need for doctors to record more specific and accurate diagnoses based on the most recent advancements in medicine. For this reason, there are five times more ICD-10 codes than there were ICD-9 codes. The ICD-10 codes consist of three to seven characters that may contain both letters and numbers.
The “unspecified” codes can be used when not enough information is known to give a more specific diagnosis; in that case, “unspecified” is technically more accurate than a more specific but as yet unconfirmed diagnosis. For more guidelines on using ICD-10 codes for diabetes mellitus, you can consult this document.
The more characters in the code, the more specific the diagnosis, so when writing a code on a medical record you should give the longest code possible while retaining accuracy.
Here's a conversion table that translates the old ICD-9 codes for diabetes to ICD-10 codes. There weren’t as many codes to describe different conditions in the ICD-9, so you’ll notice that some of them have more than one possible corresponding ICD-10 code. Some are also translated into a combination of two ICD-10 codes (note the use of the word "and").
Type 2 diabetes mellitus with ophthalmic complications 1 E11.3 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM E11.3 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of E11.3 - other international versions of ICD-10 E11.3 may differ.
The 2022 edition of ICD-10-CM E11.3 became effective on October 1, 2021.