AutoICD API

E11.3

Non-billable

Type 2 diabetes mellitus with ophthalmic complications

Type 2 diabetes mellitus with ophthalmic complications

This is a header/category code. For billing purposes, use a more specific child code from the list below.

Status

Non-billable / Header

Block

E08-E13

Parent Code

E11

Child Codes

8

Coding Notes

Includes

Conditions included under this code

  • diabetes (mellitus) due to insulin secretory defect
  • diabetes NOS
  • insulin resistant diabetes (mellitus)

Excludes 1

Codes that cannot be used together with this code (mutual exclusion)

  • transitory endocrine and metabolic disorders specific to newborn (P70-P74)
  • 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.-)

Use Additional Code

Additional codes that should follow this code

  • code to identify control using:
  • injectable non-insulin antidiabetic drugs (Z79.85)
  • insulin (Z79.4)
  • oral antidiabetic drugs (Z79.84)
  • oral hypoglycemic drugs (Z79.84)

Child Codes (8)

E11.31

Type 2 diabetes mellitus with unsp diabetic retinopathy

E11.32

Type 2 diabetes w mild nonproliferative diabetic retinopathy

E11.33

Type 2 diabetes w moderate nonprlf diabetic retinopathy

E11.34

Type 2 diabetes w severe nonprlf diabetic retinopathy

E11.35

Type 2 diabetes w proliferative diabetic retinopathy

E11.36

Type 2 diabetes mellitus with diabetic cataract

BillableE11.37

Type 2 diab with diabetic macular edema, resolved fol trtmt

E11.39

Type 2 diabetes w oth diabetic ophthalmic complication

Billable

Also Known As / Clinical Terms

UMLS

Frequently Asked Questions

What is ICD-10 code E11.3?

ICD-10-CM code E11.3 represents "Type 2 diabetes mellitus with ophthalmic complications". It is a non-billable header code — use a more specific child code for billing purposes.

Is E11.3 a billable code?

No, E11.3 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 8 child codes under E11.3.

What chapter is E11.3 in?

E11.3 is in Chapter 4: Endocrine, Nutritional and Metabolic Diseases (codes E00-E89).

What codes cannot be used with E11.3?

E11.3 has Excludes1 notes indicating codes that cannot be used together with it, including: transitory endocrine and metabolic disorders specific to newborn (P70-P74); diabetes mellitus due to underlying condition (E08.-); drug or chemical induced diabetes mellitus (E09.-); and 6 more.

What are the subcategories under E11.3?

E11.3 has 8 child codes, including: E11.31 (Type 2 diabetes mellitus with unsp diabetic retinopathy), E11.32 (Type 2 diabetes w mild nonproliferative diabetic retinopathy), E11.33 (Type 2 diabetes w moderate nonprlf diabetic retinopathy), E11.34 (Type 2 diabetes w severe nonprlf diabetic retinopathy), and 4 more.

Are additional codes required with E11.3?

Yes, when using E11.3 you should also code: code to identify control using:; injectable non-insulin antidiabetic drugs (Z79.85); insulin (Z79.4); oral antidiabetic drugs (Z79.84); oral hypoglycemic drugs (Z79.84).

What are the UMLS CUIs for E11.3?

E11.3 is linked to 1 UMLS Concept Unique Identifier: C0348919. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.

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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.