Is E13.5 a billable ICD-10-CM code?

No. E13.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does E13.5 sit in the tabular list?

Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).

E13.5

E13.5 — Other specified diabetes mellitus with circulatory complications

Non-billable headerICD-10-CM

E13.5 is a non-billable header ICD-10-CM code for other specified diabetes mellitus with circulatory complications. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

E13.5 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead E13.5

3 child codes. Green means billable.

Related codes at this level

Codes that share E13. If E13.5 is not quite right, the correct code is usually one of these.

Questions about E13.5

Is E13.5 a billable ICD-10-CM code?: No. E13.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does E13.5 sit in the tabular list?: Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).