2022 ICD-10-CM Code E08.351

Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema

Version 2021

Not Valid for Submission

ICD-10:E08.351
Short Description:Diab due to undrl cond w prolif diab rtnop w macular edema
Long Description:Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema

Code Classification

  • Endocrine, nutritional and metabolic diseases (E00–E90)
    • Diabetes mellitus (E08-E13)
      • Diabetes mellitus due to underlying condition (E08)

E08.351 is a non-specific and non-billable diagnosis 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 with macular edema. The code is not specific and is NOT valid for the year 2022 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 Diab due to undrl cond w prolif diab rtnop w macular edema

Non-specific codes like E08.351 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 diab due to undrl cond w prolif diab rtnop w 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

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code E08.351 are found in the index:

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)