E08.3
E08.3 — Diabetes mellitus due to underlying condition with ophthalmic complications
Non-billable headerICD-10-CM
E08.3 is a non-billable header ICD-10-CM code for diabetes mellitus due to underlying condition with ophthalmic complications. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with E08.3
These codes carry an Excludes1 note pointing at E08.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E08.3 alone.
Risk adjustment
E08.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead E08.3
8 child codes. Green means billable.
- E08.31Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy
- E08.32Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy
- E08.33Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy
- E08.34Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy
- E08.35Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy
- E08.36Diabetes mellitus due to underlying condition with diabetic cataract
- E08.37Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment
- E08.39Diabetes mellitus due to underlying condition with other diabetic ophthalmic complication
Related codes at this level
Codes that share E08. If E08.3 is not quite right, the correct code is usually one of these.
- E08.0Diabetes mellitus due to underlying condition with hyperosmolarity
- E08.1Diabetes mellitus due to underlying condition with ketoacidosis
- E08.2Diabetes mellitus due to underlying condition with kidney complications
- E08.4Diabetes mellitus due to underlying condition with neurological complications
- E08.5Diabetes mellitus due to underlying condition with circulatory complications
- E08.6Diabetes mellitus due to underlying condition with other specified complications
- E08.8Diabetes mellitus due to underlying condition with unspecified complications
- E08.9Diabetes mellitus due to underlying condition without complications
Questions about E08.3
- Is E08.3 a billable ICD-10-CM code?
- No. E08.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does E08.3 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).