E10.3
E10.3: Type 1 diabetes mellitus with ophthalmic complications
Non-billable headerICD-10-CM
E10.3 is a non-billable header ICD-10-CM code for type 1 diabetes mellitus with ophthalmic complications. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 inherited from the categories above E10.3
A category’s note binds every code beneath it.
Written on E10: Type 1 diabetes mellitus
- diabetes mellitus due to underlying condition (E08.-)
- drug or chemical induced diabetes mellitus (E09.-)
- gestational diabetes (O24.4-)
- hyperglycemia NOS (R73.9)
- neonatal diabetes mellitus (P70.2)
- postpancreatectomy diabetes mellitus (E13.-)
- postprocedural diabetes mellitus (E13.-)
- secondary diabetes mellitus NEC (E13.-)
- type 2 diabetes mellitus (E11.-)
Other codes that can never be billed with E10.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
- E08Diabetes mellitus due to underlying condition
- E09Drug or chemical induced diabetes mellitus
- E11Type 2 diabetes mellitus
- E13Other specified diabetes mellitus
- H28Cataract in diseases classified elsewhere
- H36Retinal disorders in diseases classified elsewhere
- Q45.3Other congenital malformations of pancreas and pancreatic duct
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead E10.3
8 child codes. Green means billable.
- E10.31Type 1 diabetes mellitus with unspecified diabetic retinopathy
- E10.32Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy
- E10.33Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy
- E10.34Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy
- E10.35Type 1 diabetes mellitus with proliferative diabetic retinopathy
- E10.36Type 1 diabetes mellitus with diabetic cataract
- E10.37Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment
- E10.39Type 1 diabetes mellitus with other diabetic ophthalmic complication
Other codes under E10
- E10.1Type 1 diabetes mellitus with ketoacidosis
- E10.2Type 1 diabetes mellitus with kidney complications
- E10.4Type 1 diabetes mellitus with neurological complications
- E10.5Type 1 diabetes mellitus with circulatory complications
- E10.6Type 1 diabetes mellitus with other specified complications
- E10.8Type 1 diabetes mellitus with unspecified complications
- E10.9Type 1 diabetes mellitus without complications
- E10.AType 1 diabetes mellitus, presymptomatic