E08.35 - Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy

Version 2023
ICD-10:E08.35
Short Description:Diabetes due to underlying condition w prolif diabetic rtnop
Long Description:Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy
Status: Not Valid for Submission
Version:ICD-10-CM 2023
Code Classification:
  • Endocrine, nutritional and metabolic diseases (E00–E90)
    • Diabetes mellitus (E08-E13)
      • Diabetes mellitus due to underlying condition (E08)

E08.35 is a non-specific and non-billable ICD-10 code code, consider using a code with a higher level of specificity for a diagnosis of diabetes mellitus due to underlying condition with proliferative diabetic retinopathy. The code is not specific and is NOT valid for the year 2023 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Coding Guidelines

The diabetes mellitus codes are combination codes that include the type of diabetes mellitus, the body system affected, and the complications affecting that body system. As many codes within a particular category as are necessary to describe all of the complications of the disease may be used. They should be sequenced based on the reason for a particular encounter. Assign as many codes from categories E08 - E13 as needed to identify all of the associated conditions that the patient has.

Specific Coding for Diabetes due to underlying condition w prolif diabetic rtnop

Non-specific codes like E08.35 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for diabetes due to underlying condition w prolif diabetic rtnop:

  • NON-BILLABLE CODE - E08.351 for Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema
  • BILLABLE CODE - Use E08.3511 for right eye
  • BILLABLE CODE - Use E08.3512 for left eye
  • BILLABLE CODE - Use E08.3513 for bilateral
  • BILLABLE CODE - Use E08.3519 for unspecified eye
  • NON-BILLABLE CODE - E08.352 for Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula
  • BILLABLE CODE - Use E08.3521 for right eye
  • BILLABLE CODE - Use E08.3522 for left eye
  • BILLABLE CODE - Use E08.3523 for bilateral
  • BILLABLE CODE - Use E08.3529 for unspecified eye
  • NON-BILLABLE CODE - E08.353 for Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula
  • BILLABLE CODE - Use E08.3531 for right eye
  • BILLABLE CODE - Use E08.3532 for left eye
  • BILLABLE CODE - Use E08.3533 for bilateral
  • BILLABLE CODE - Use E08.3539 for unspecified eye
  • NON-BILLABLE CODE - E08.354 for Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment
  • BILLABLE CODE - Use E08.3541 for right eye
  • BILLABLE CODE - Use E08.3542 for left eye
  • BILLABLE CODE - Use E08.3543 for bilateral
  • BILLABLE CODE - Use E08.3549 for unspecified eye
  • NON-BILLABLE CODE - E08.355 for Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy
  • BILLABLE CODE - Use E08.3551 for right eye
  • BILLABLE CODE - Use E08.3552 for left eye
  • BILLABLE CODE - Use E08.3553 for bilateral
  • BILLABLE CODE - Use E08.3559 for unspecified eye
  • NON-BILLABLE CODE - E08.359 for Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema
  • BILLABLE CODE - Use E08.3591 for right eye
  • BILLABLE CODE - Use E08.3592 for left eye
  • BILLABLE CODE - Use E08.3593 for bilateral
  • BILLABLE CODE - Use E08.3599 for unspecified eye

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:


7th Character Note

7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.

7th Character

7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.

Code History