E08.39: Diabetes mellitus due to underlying condition with other diabetic ophthalmic complication
E08.39 is a billable, specific ICD-10-CM code for diabetes mellitus due to underlying condition with other diabetic ophthalmic complication. It is valid for submission on a claim.
Check E08.39 with the rest of the claim: free scrubberUse additional code
Add a secondary code to capture the detail described below.
Excludes1 inherited from the categories above E08.39
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 E08.39
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
E08.39 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 37 Diabetes with Chronic Complications0.166 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
E08.39 is named in 24 Medicare coverage policies: 24 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52464Glucose Monitor - Policy Article
- A52501Therapeutic Shoes for Persons with Diabetes - Policy Article
- A52507External Infusion Pumps - Policy Article
- A52996Billing and Coding: Routine Foot Care
Alphabetic index entries that lead here
- Diabetes, diabetic›due to underlying condition›with›ophthalmic complication NEC
- Diabetes, diabetic›due to underlying condition›with›retinal, hemorrhage
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under E08.3
- 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
- E08.35Diabetes 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