E08.355
E08.355: Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy
Non-billable headerICD-10-CM
E08.355 is a non-billable header ICD-10-CM code for diabetes mellitus due to underlying condition with stable 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
Excludes1 inherited from the categories above E08.355
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 E08.355
Their own Excludes1 notes name this code, so the conflict is not listed above.
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›proliferative›with›stable proliferative diabetic retinopathy
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead E08.355
4 child codes. Green means billable.
- E08.3551Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, right eye
- E08.3552Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, left eye
- E08.3553Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, bilateral
- E08.3559Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, unspecified eye
Other codes under E08.35
- 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
- E08.359Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema