E13.359
Non-billableOth diabetes w prolif diabetic retinopathy w/o macular edema
Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema
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 (4)
E13.3591Oth diab with prolif diab rtnop without macular edema, r eye
E13.3592Oth diab with prolif diab rtnop without macular edema, l eye
E13.3593Oth diab with prolif diab rtnop without macular edema, bi
E13.3599Oth diab with prolif diab rtnop without macular edema, unsp
Also Known As / Clinical Terms
Frequently Asked Questions
What is the ICD-10 code for oth diabetes w prolif diabetic retinopathy w/o macular edema?
The ICD-10-CM code for oth diabetes w prolif diabetic retinopathy w/o macular edema is E13.359. The full clinical description is "Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema". E13.359 is a non-billable header code. Use a more specific child code for billing purposes.
What does ICD-10 code E13.359 mean?
ICD-10-CM code E13.359 represents "Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema". It is classified under Chapter 4: Endocrine, Nutritional and Metabolic Diseases and is a non-billable header code. Use a more specific child code for billing purposes.
Is E13.359 a billable code?
No, E13.359 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 4 child codes under E13.359.
What chapter is E13.359 in?
E13.359 is in Chapter 4: Endocrine, Nutritional and Metabolic Diseases (codes E00-E89).
What codes cannot be used with E13.359?
E13.359 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 E13.359?
E13.359 has 4 child codes, including: E13.3591 (Oth diab with prolif diab rtnop without macular edema, r eye), E13.3592 (Oth diab with prolif diab rtnop without macular edema, l eye), E13.3593 (Oth diab with prolif diab rtnop without macular edema, bi), E13.3599 (Oth diab with prolif diab rtnop without macular edema, unsp).
Are additional codes required with E13.359?
Yes, when using E13.359 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 E13.359?
E13.359 is linked to 1 UMLS Concept Unique Identifier: C2874149. 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.