E08.31
E08.31 — Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy
Non-billable headerICD-10-CM
E08.31 is a non-billable header ICD-10-CM code for diabetes mellitus due to underlying condition with unspecified diabetic retinopathy. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
E08.31 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 E08.31
2 child codes. Green means billable.
Related codes at this level
Codes that share E08.3. If E08.31 is not quite right, the correct code is usually one of these.
- 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
Questions about E08.31
- Is E08.31 a billable ICD-10-CM code?
- No. E08.31 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does E08.31 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).