icd 10 code for secondary diabetes mellitus with macular edema

by Domenico Rolfson 5 min read

Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema. E11. 311 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 E11.

What are the ICD 10 codes for diabetes?

  • N18.3: Chronic kidney disease, stage 3 (moderate).
  • 024: Diabetes in pregnancy, childbirth, and the puerperium.
  • L97.4 or L97.5: To designate site, laterality, and depth of non-pressure skin ulcer.
  • O24.011: Pre-existing diabetes mellitus, type 1, in pregnancy, first trimester.
  • O24.12: Pre-existing diabetes mellitus, type 2, in childbirth.

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What is ICD 10 for poorly controlled diabetes?

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:

  • E08, Diabetes mellitus due to underlying condition
  • E09, Drug or chemical induced diabetes mellitus
  • E10, Type 1 diabetes mellitus
  • E11, Type 2 diabetes mellitus
  • E13, Other specified diabetes mellitus

What is diabetes insipidus ICD 10 code?

what is diabetes insipidus icd 10 code 234. Destruction of beta-cells of the islets of Langerhans in the pancreas and consequently development of insulin-dependent diabetes is one ...

What is the ICD 10 diagnosis code for?

The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.

What is the ICD-10 code for diabetic macular edema?

ICD-10 code E11. 311 for Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .

Is diabetic retinopathy and diabetic macular edema the same?

DME is a complication of diabetic retinopathy that affects the macula, which is located at the center of the retina and responsible for central vision. The macula helps you see color, fine details, and distant objects.

What is diabetic macular edema?

Sometimes, tiny bulges (microaneurysms) protrude from the vessel walls, leaking or oozing fluid and blood into the retina. This fluid can cause swelling (edema) in the central part of the retina (macula). This is a serious eye complication called diabetic macular edema that can cause vision problems or blindness.

What is the ICD-10 code for secondary diabetes?

Other specified diabetes mellitus without complications The 2022 edition of ICD-10-CM E13. 9 became effective on October 1, 2021.

Is retinal edema the same as macular edema?

In the retina, blisters of fluid form and swell the retina—this is macular edema. Factors likely to cause macular edema include conditions that: Cause more fluid to leak from blood vessels (diabetes and high blood pressure) Increase inflammation in the eye (surgery, inflammatory diseases)

Does diabetic retinopathy cause macular edema?

Diabetic macular edema is the leading cause of decreased vision from diabetic retinopathy. This decreased vision is caused by an increase in extracellular fluid within the retina distorting the retinal architecture and frequently taking on a pattern of cystoid macular edema.

What is macular edema of the eye?

Macular edema causes painless blurring of central vision in one or both eyes. In some cases, the eye may be red or sensitive to light. The symptoms may fluctuate over time. Macular edema does not cause transient loss of vision, double vision, or eye irritation.

What is clinically significant macular edema?

Clinically Significant Macular Edema (CSME) is seen when one of the following occurs: 1) Retinal thickening at or within 500 microns or 1/3 disc diameter of center of macula. 2) Hard exudates at or within 500 microns of the center of the macula with adjacent retinal thickening.

How is diabetic macular edema diagnosed?

Diagnosis of Diabetic Macular Edema The best way to detect diabetic macular edema is by complete eye examination including direct examination after your pupils have been dilated. Dilated pupils provide your doctor with a direct view of the entire retina and associated structures.

How do you code secondary diabetes mellitus?

Code DM due to underlying condition with hyperglycemia (E08. 65) as secondary. Rationale: Long-term (current) use of insulin (Z79. 4) should not be coded if insulin is given temporarily to bring the patient's blood sugar under control during an encounter.

What is secondary diabetes mellitus?

Abstract. Secondary diabetes can be defined as a diabetic condition that develops after the destruction of the beta-cells in the pancreatic islets and/or the induction of insulin resistance by an acquired disease (e.g. endocrinopathies) or others.

What is the proper ICD-10 code for Type 2 diabetes mellitus with multiple complications?

E11. 69 - Type 2 diabetes mellitus with other specified complication. ICD-10-CM.

What is the ICd 10 code for diabetic macular edema?

Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye 1 E11.37X2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Type 2 diab with diab mclr edema, resolved fol trtmt, l eye 3 The 2021 edition of ICD-10-CM E11.37X2 became effective on October 1, 2020. 4 This is the American ICD-10-CM version of E11.37X2 - other international versions of ICD-10 E11.37X2 may differ.

When will the ICD-10 E11.37X2 be released?

The 2022 edition of ICD-10-CM E11.37X2 became effective on October 1, 2021.

What is the ICD-10 code for macular edema?

E11.37 is a non-billable ICD-10 code for Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment. It should not be used for HIPAA-covered transactions as a more specific code is available to choose from below.

What does "Excludes 2" mean?

A type 2 Excludes note represents 'Not included here'. An Excludes2 note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When an Excludes2 note appears under a code it is acceptable to use both the code and the excluded code together.

What is the ICd 10 code for macular edema?

E11.3411 is a valid billable ICD-10 diagnosis code for Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .

Do you include decimal points in ICD-10?

DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically. See also: