E11.35

E11.35: Type 2 diabetes mellitus with proliferative diabetic retinopathy

Non-billable headerICD-10-CM

E11.35 is a non-billable header ICD-10-CM code for type 2 diabetes mellitus with 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 E11.35 to designate laterality of the disease:

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

Excludes1 inherited from the categories above E11.35

A category’s note binds every code beneath it.

Written on E11: Type 2 diabetes mellitus

diabetes mellitus due to underlying condition (E08.-)
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.-)

Other codes that can never be billed with E11.35

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
E10Type 1 diabetes mellitus

Risk adjustment

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

There’s a guided path to this code

Type 2 diabetes: chart note to code

The condition this code belongs to

Type 2 diabetes ICD-10 codes

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead E11.35

6 child codes. Green means billable.