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Home/Diagnosis/ICD-10 Coding for Diabetes with Retinopathy

ICD-10 Coding for Diabetes with Retinopathy

E11.319
E11.359

Complete ICD-10-CM coding and documentation guide for icd-10 coding for diabetes with retinopathy includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Diabetic Retinopathy
Diabetes Mellitus with Retinal Complications
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Key Information: ICD-10 Coding for Diabetes with Retinopathy

Essential facts and insights about ICD-10 Coding for Diabetes with Retinopathy

Use ICD-10 code E11.319 for type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema

Billable Code
E11.319
Billable

Diagnostic Criteria

  • • Presence of retinopathy without macular edema

Applicable To

  • • Type 2 diabetes with retinopathy

Important Notes

  • • Ensure documentation specifies the type of retinopathy to avoid unspecified coding.

Type 2 diabetes mellitus with proliferative diabetic retinopathy

Non-Billable
E11.359
Non-Billable

Applicable To

  • • Type 2 diabetes with proliferative retinopathy

Important Notes

  • • Document the presence of neovascularization to support proliferative retinopathy coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

H35.0

Retinopathy

Use to specify the type of retinopathy if further detail is documented.

Frequently Asked Questions

What is the ICD-10 code for diabetes with retinopathy?

The ICD-10 code for diabetes with unspecified retinopathy without macular edema is E11.319. For proliferative retinopathy, use E11.359.

How do you document diabetic retinopathy?

Document the type of diabetes, retinopathy stage, laterality, and presence of macular edema. Use structured templates to ensure completeness.

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