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:
limbs amputated due to peripheral neuropathy caused by the disease.”. If either peripheral or autonomic neuropathy is caused by diabetes, then a code from subcategory 250.6 will be sequenced first followed by code 357.2 for polyneuropathy in diabetes or code 337.1 for peripheral autonomic neuropathy.
What is diabetic eye disease?
Diabetes mellitus ( E08-E13) Type 2 diabetes mellitus ( E11) E11.8 is a billable diagnosis code used to specify a medical diagnosis of type 2 diabetes mellitus with unspecified complications. The code E11.8 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
ICD-10 code E11. 39 for Type 2 diabetes mellitus with other diabetic ophthalmic complication is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
According to the CMS website, diabetes can lead to severe complications such as heart disease, stroke, vision loss, kidney disease, nerve damage, and amputation, among others, and it's a significant risk factor for developing glaucoma.
ICD-10-CM Code for Primary open-angle glaucoma, right eye, mild stage H40. 1111.
E08, Diabetes mellitus due to underlying condition. E09, Drug or chemical induced diabetes mellitus. E10, Type 1 diabetes mellitus. E11, Type 2 diabetes mellitus.
Glaucoma. Glaucoma is a group of eye diseases that can damage the optic nerve—the bundle of nerves that connects the eye to the brain. Diabetes doubles the chances of having glaucoma, which can lead to vision loss and blindness if not treated early. Symptoms depend on which type of glaucoma you have.
Diabetic retinopathy can cause abnormal blood vessels to grow out of the retina and block fluid from draining out of the eye. This causes a type of glaucoma (a group of eye diseases that can cause vision loss and blindness).
H40. 9 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 H40.
unspecified open-angle glaucoma H40. 10- unspecified primary angle-closure glaucoma H40. 20-
1 Primary open-angle glaucoma.
ICD-10 code E10. 9 for Type 1 diabetes mellitus without complications is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
You would assign ICD-10 code Z13. 1, Encounter for screening for diabetes mellitus. This code can be found under “Screening” in the Alphabetical Index of the ICD-10 book.
ICD-Code E11* is a non-billable ICD-10 code used for healthcare diagnosis reimbursement of Type 2 Diabetes Mellitus. Its corresponding ICD-9 code is 250. Code I10 is the diagnosis code used for Type 2 Diabetes Mellitus.
Clinical Information. A condition in which there is a build-up of fluid in the eye, which presses on the retina and the optic nerve. The retina is the layer of nerve tissue inside the eye that senses light and sends images along the optic nerve to the brain.
An ocular disease, occurring in many forms, having as its primary characteristics an unstable or a sustained increase in the intraocular pressure which the eye cannot withstand without damage to its structure or impairment of its function . The consequences of the increased pressure may be manifested in a variety of symptoms, depending upon type and severity, such as excavation of the optic disk, hardness of the eyeball, corneal anesthesia, reduced visual acuity, seeing of colored halos around lights, disturbed dark adaptation, visual field defects, and headaches. (dictionary of visual science, 4th ed)
The 2022 edition of ICD-10-CM H40.9 became effective on October 1, 2021.
Glaucoma damages the eye's optic nerve. It is a leading cause of blindness in the United States. It usually happens when the fluid pressure inside the eyes slowly rises, damaging the optic nerve. Often there are no symptoms at first, but a comprehensive eye exam can detect it.
If the type of glaucoma and the stage is the same for both eyes, then only one code will be required. However, if the stage and/or type of glaucoma is different between each eye, two codes will be required. The new required eye designation has taken the place of the “x” in the 6 th character spot to indicate which eye:
For example, in a patient with mild retinopathy without macular edema in the right eye and severe retinopathy without macular edema in the left eye, the following codes would be used: E11.3211 and E11.3412
These new codes took effect on October 1, 2016. Carefully review any private insurers’ websites and/or bulletins to determine if they did implement these changes on October 1, 2016, to avoid claim denials.
On October 1, 2016, changes to ICD-10-CM coding were implemented. While all of the code changes applicable for optometry are important, a few of the major changes are discussed in this article.
The existing code to designate insulin use ( Z 79.4) was ret ained. Keep in mind that not all injectable diabetic medications are considered insulin. If a patient is on both oral medication and insulin, both of these medication codes should be used.
Glaucoma secondary to drugs, bilateral 1 H00-H59#N#2021 ICD-10-CM Range H00-H59#N#Diseases of the eye and adnexa#N#Note#N#Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition#N#Type 2 Excludes#N#certain conditions originating in the perinatal period ( P04 - P96)#N#certain infectious and parasitic diseases ( A00-B99)#N#complications of pregnancy, childbirth and the puerperium ( O00-O9A)#N#congenital malformations, deformations, and chromosomal abnormalities ( Q00-Q99)#N#diabetes mellitus related eye conditions ( E09.3-, E10.3-, E11.3-, E13.3-)#N#endocrine, nutritional and metabolic diseases ( E00 - E88)#N#injury (trauma) of eye and orbit ( S05.-)#N#injury, poisoning and certain other consequences of external causes ( S00-T88)#N#neoplasms ( C00-D49)#N#symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified ( R00 - R94)#N#syphilis related eye disorders ( A50.01, A50.3-, A51.43, A52.71)#N#Diseases of the eye and adnexa 2 H40#N#ICD-10-CM Diagnosis Code H40#N#Glaucoma#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Type 1 Excludes#N#absolute glaucoma ( H44.51-)#N#congenital glaucoma ( Q15.0)#N#traumatic glaucoma due to birth injury ( P15.3)#N#Glaucoma 3 H40.6#N#ICD-10-CM Diagnosis Code H40.6#N#Glaucoma secondary to drugs#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Use Additional#N#code for adverse effect, if applicable, to identify drug ( T36-T50 with fifth or sixth character 5)#N#Glaucoma secondary to drugs
The 2022 edition of ICD-10-CM H40.63 became effective on October 1, 2021.
Glaucoma secondary to drugs 1 H00-H59#N#2021 ICD-10-CM Range H00-H59#N#Diseases of the eye and adnexa#N#Note#N#Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition#N#Type 2 Excludes#N#certain conditions originating in the perinatal period ( P04 - P96)#N#certain infectious and parasitic diseases ( A00-B99)#N#complications of pregnancy, childbirth and the puerperium ( O00-O9A)#N#congenital malformations, deformations, and chromosomal abnormalities ( Q00-Q99)#N#diabetes mellitus related eye conditions ( E09.3-, E10.3-, E11.3-, E13.3-)#N#endocrine, nutritional and metabolic diseases ( E00 - E88)#N#injury (trauma) of eye and orbit ( S05.-)#N#injury, poisoning and certain other consequences of external causes ( S00-T88)#N#neoplasms ( C00-D49)#N#symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified ( R00 - R94)#N#syphilis related eye disorders ( A50.01, A50.3-, A51.43, A52.71)#N#Diseases of the eye and adnexa 2 H40#N#ICD-10-CM Diagnosis Code H40#N#Glaucoma#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Type 1 Excludes#N#absolute glaucoma ( H44.51-)#N#congenital glaucoma ( Q15.0)#N#traumatic glaucoma due to birth injury ( P15.3)#N#Glaucoma
The 2022 edition of ICD-10-CM H40.6 became effective on October 1, 2021.
Glaucoma secondary to drugs. H40.6 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2021 edition of ICD-10-CM H40.6 became effective on October 1, 2020.