E13.3
Non-billableOth diabetes mellitus with ophthalmic complications
Other specified diabetes mellitus with ophthalmic complications
This is a header/category code. For billing purposes, use a more specific child code from the list below.
Coding Notes
Includes
Conditions included under this code
- diabetes mellitus due to genetic defects of beta-cell function
- diabetes mellitus due to genetic defects in insulin action
- postpancreatectomy diabetes mellitus
- postprocedural diabetes mellitus
- secondary diabetes mellitus NEC
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 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.-)
Child Codes (8)
E13.31Oth diabetes mellitus with unspecified diabetic retinopathy
E13.32Oth diabetes w mild nonproliferative diabetic retinopathy
E13.33Oth diabetes w moderate nonprlf diabetic retinopathy
E13.34Oth diabetes w severe nonproliferative diabetic retinopathy
E13.35Oth diabetes mellitus w proliferative diabetic retinopathy
E13.36Other specified diabetes mellitus with diabetic cataract
E13.37Oth diabetes with diabetic macular edema, resolved fol trtmt
E13.39Oth diabetes mellitus w oth diabetic ophthalmic complication
Also Known As / Clinical Terms
Frequently Asked Questions
What is ICD-10 code E13.3?
ICD-10-CM code E13.3 represents "Other specified diabetes mellitus with ophthalmic complications". It is a non-billable header code — use a more specific child code for billing purposes.
Is E13.3 a billable code?
No, E13.3 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 E13.3.
What chapter is E13.3 in?
E13.3 is in Chapter 4: Endocrine, Nutritional and Metabolic Diseases (codes E00-E89).
What codes cannot be used with E13.3?
E13.3 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 autoimmune process (E10.-); diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction (E10.-); and 5 more.
What are the subcategories under E13.3?
E13.3 has 8 child codes, including: E13.31 (Oth diabetes mellitus with unspecified diabetic retinopathy), E13.32 (Oth diabetes w mild nonproliferative diabetic retinopathy), E13.33 (Oth diabetes w moderate nonprlf diabetic retinopathy), E13.34 (Oth diabetes w severe nonproliferative diabetic retinopathy), and 4 more.
Are additional codes required with E13.3?
Yes, when using E13.3 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 E13.3?
E13.3 is linked to 1 UMLS Concept Unique Identifier: C0348935. 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.