ICD-10-CM
E08.3513: Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, bilateral
A billable ICD-10-CM diagnosis code.
Source: CDC ICD-10-CM FY2027 order file dated June 16, 2026. Publisher page
- Kind
- Billable code
- Category
- E08
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Nearby codes
A header groups codes and is not billed. A billable code is one you can report.
- E08.3511Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, right eyeBillable
- E08.3512Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, left eyeBillable
- E08.3519Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, unspecified eyeBillable
It's the public CDC file. Check the current ICD-10-CM guidelines before you code.
Code first
The CDC tabular list says to report the code named here before this one.
From E08. A note on a category applies to every code under it.
Code first the underlying condition, such as:
Use additional code
The CDC tabular list says to add the code named here after this one when it applies.
From E08. A note on a category applies to every code under it.
Use additional code to identify control using:
Excludes1
Excludes1 means these codes are not reported together.
From E08. A note on a category applies to every code under it.
CMS-HCC, payment year 2027 (initial mapping)
A CMS-HCC group is a risk-adjustment category. This page does not decide payment.
- CMS-HCC category 298 (payment year 2027 model)