E08.35
E08.35 — Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy
Non-billable headerICD-10-CM
E08.35 is a non-billable header ICD-10-CM code for diabetes mellitus due to underlying condition with proliferative diabetic retinopathy. 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 E08.35 to designate laterality of the disease:
- 1
- right eye
- 2
- left eye
- 3
- bilateral
- 9
- unspecified eye
Risk adjustment
E08.35 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 E08.35
6 child codes. Green means billable.
- E08.351Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema
- E08.352Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula
- E08.353Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula
- E08.354Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment
- E08.355Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy
- E08.359Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema
Related codes at this level
Codes that share E08.3. If E08.35 is not quite right, the correct code is usually one of these.
- 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
- E08.36Diabetes 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 E08.35
- Is E08.35 a billable ICD-10-CM code?
- No. E08.35 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does E08.35 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).