E08.355 — Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy
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
Risk adjustment
E08.355 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.
How E08.355 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to E08.355.
- Diabetes, diabetic›due to underlying condition›with›retinopathy›proliferative›with›stable proliferative diabetic retinopathy
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
Related codes at this level
Codes that share E08.35. If E08.355 is not quite right, the correct code is usually one of these.
- 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
Questions about E08.355
- Is E08.355 a billable ICD-10-CM code?
- No. E08.355 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does E08.355 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).