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Home/Diagnosis/ICD-10 Coding for Macular Edema

ICD-10 Coding for Macular Edema

E11.311
H35.81

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

Also Known as:
Retinal Swelling
Diabetic Macular Edema
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Key Information: ICD-10 Coding for Macular Edema

Essential facts and insights about ICD-10 Coding for Macular Edema

Use ICD-10 code E11.311 for type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema

Billable Code
E11.311
Billable

Diagnostic Criteria

clinical:
  • • Presence of macular edema confirmed by OCT
documentation:
  • • Detailed diabetes management plan including insulin use

Applicable To

  • • Diabetic macular edema

Important Notes

  • • Ensure documentation specifies 'macular edema' and not just 'retinopathy'.

Retinal edema

Billable Code
H35.81
Billable

Diagnostic Criteria

clinical:
  • • OCT showing intraretinal fluid

Applicable To

  • • Cystoid macular edema

Important Notes

  • • Ensure differentiation from diabetic causes.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.4

Long term (current) use of insulin

Use when the patient is on insulin therapy.

Frequently Asked Questions

What is the ICD-10 code for macular edema?

The ICD-10 code for macular edema associated with type 2 diabetes is E11.311. For non-diabetic retinal edema, use H35.81.

How is macular edema diagnosed?

Macular edema is diagnosed using OCT, which shows central subfield thickness. This is crucial for accurate ICD-10 coding.

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