E13.3

E13.3: Other specified diabetes mellitus with ophthalmic complications

Non-billable headerICD-10-CM

E13.3 is a non-billable header ICD-10-CM code for other specified 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 E13.3

A category’s note binds every code beneath it.

Written on E13: Other specified diabetes mellitus

diabetes (mellitus) due to autoimmune process (E10.-)
diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction (E10.-)
diabetes mellitus due to underlying condition (E08.-)
drug or chemical induced diabetes mellitus (E09.-)
gestational diabetes (O24.4-)
neonatal diabetes mellitus (P70.2)
type 1 diabetes mellitus (E10.-)

Other codes that can never be billed with E13.3

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
E10Type 1 diabetes mellitus
E11Type 2 diabetes mellitus
H28Cataract in diseases classified elsewhere
H36Retinal disorders in diseases classified elsewhere

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 E13.3

8 child codes. Green means billable.