E08.331

E08.331: Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema

Non-billable headerICD-10-CM

E08.331 is a non-billable header ICD-10-CM code for diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

One of the following 7th characters is to be assigned to codes in subcategory E08.33 to designate laterality of the disease:

1: right eye
2: left eye
3: bilateral
9: unspecified eye

Excludes1 inherited from the categories above E08.331

A category’s note binds every code beneath it.

Written on E08: Diabetes mellitus due to underlying condition

drug or chemical induced diabetes mellitus (E09.-)
gestational diabetes (O24.4-)
neonatal diabetes mellitus (P70.2)
postpancreatectomy diabetes mellitus (E13.-)
postprocedural diabetes mellitus (E13.-)
secondary diabetes mellitus NEC (E13.-)
type 1 diabetes mellitus (E10.-)
type 2 diabetes mellitus (E11.-)

Other codes that can never be billed with E08.331

Their own Excludes1 notes name this code, so the conflict is not listed above.

E09Drug or chemical induced diabetes mellitus
E10Type 1 diabetes mellitus
E11Type 2 diabetes mellitus
E13Other specified diabetes mellitus

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

Diabetes, diabetic›due to underlying condition›with›retinopathy›nonproliferative›moderate›with macular edema

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead E08.331

4 child codes. Green means billable.

Other codes under E08.33

E08.339Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema