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2018/2019 ICD-10-CM Diagnosis Code E11.3. Type 2 diabetes mellitus with ophthalmic complications. E11.3 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
When diabetes leads to vision issues, patients are likely to come to your office more than once a year. For correct ICD-10-CM coding, you’ll have to know not only the nature of the ophthalmic complication, but the nature of the underlying diabetes itself. Check out these quick tips to ensure that you report your diagnosis codes correctly.
The 2020 edition of ICD-10-CM E11.3 became effective on October 1, 2019. This is the American ICD-10-CM version of E11.3 - other international versions of ICD-10 E11.3 may differ. All neoplasms, whether functionally active or not, are classified in Chapter 2.
Encounter for screening for eye and ear disorders Z13. 5 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 Z13. 5 became effective on October 1, 2021.
ICD-10-CM Code for Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema E11. 319.
E11. 31 - Type 2 diabetes mellitus with unspecified diabetic retinopathy | ICD-10-CM.
If a patient with diabetic retinopathy is experiencing macular edema, then code 362.07 is assigned along with the appropriate code for the retinopathy. If the severity of nonproliferative diabetic retinopathy is not specified, assign code 362.03. Diabetic retinopathy not further specified is classified to code 362.01.
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.
362.0ICD-9 code 362.0 for Diabetic retinopathy is a medical classification as listed by WHO under the range -DISORDERS OF THE EYE AND ADNEXA (360-379).
The incorrect portion of the response came as an aside at the end, where it was stated that “it would be redundant to assign codes for both diabetic nephropathy (E11. 21) and diabetic chronic kidney disease (E11. 22), as diabetic chronic kidney disease is a more specific condition.”
E08, Diabetes mellitus due to underlying condition. E09, Drug or chemical induced diabetes mellitus. E10, Type 1 diabetes mellitus. E11, Type 2 diabetes mellitus.
CPT® 92229 allows coverage for Imaging of retina for detection or monitoring of disease; point-of-care automated analysis and report, unilateral or bilateral.
ICD-10-CM Code for Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral E11. 3213.
ICD-10 code H54. 8 for Legal blindness, as defined in USA is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa .