E10.355

E10.355: Type 1 diabetes mellitus with stable proliferative diabetic retinopathy

Non-billable headerICD-10-CM

E10.355 is a non-billable header ICD-10-CM code for type 1 diabetes mellitus 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 E10.35 to designate laterality of the disease:

1: right eye
2: left eye
3: bilateral
9: unspecified eye

Excludes1 inherited from the categories above E10.355

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 E10.355

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
Q45.3Other congenital malformations of pancreas and pancreatic duct

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

Diabetes, diabetic›type 1›with›retinopathy›proliferative›with›stable proliferative diabetic retinopathy