E10.3 - Type 1 diabetes mellitus with ophthalmic complications

Version 2023
ICD-10:E10.3
Short Description:Type 1 diabetes mellitus with ophthalmic complications
Long Description:Type 1 diabetes mellitus with ophthalmic complications
Status: Not Valid for Submission
Version:ICD-10-CM 2023
Code Classification:
  • Endocrine, nutritional and metabolic diseases (E00–E90)
    • Diabetes mellitus (E08-E13)
      • Type 1 diabetes mellitus (E10)

E10.3 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 type 1 diabetes mellitus with ophthalmic complications. 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.

The age of a patient is not the sole determining factor, though most type 1 diabetics develop the condition before reaching puberty. For this reason type 1 diabetes mellitus is also referred to as juvenile diabetes.

Specific Coding for Type 1 diabetes mellitus with ophthalmic complications

Non-specific codes like E10.3 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 type 1 diabetes mellitus with ophthalmic complications:

  • NON-BILLABLE CODE - E10.31 for Type 1 diabetes mellitus with unspecified diabetic retinopathy
  • BILLABLE CODE - Use E10.311 for Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema
  • BILLABLE CODE - Use E10.319 for Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema
  • NON-BILLABLE CODE - E10.32 for Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy
  • NON-BILLABLE CODE - E10.321 for Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema
  • BILLABLE CODE - Use E10.3211 for right eye
  • BILLABLE CODE - Use E10.3212 for left eye
  • BILLABLE CODE - Use E10.3213 for bilateral
  • BILLABLE CODE - Use E10.3219 for unspecified eye
  • NON-BILLABLE CODE - E10.329 for Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema
  • BILLABLE CODE - Use E10.3291 for right eye
  • BILLABLE CODE - Use E10.3292 for left eye
  • BILLABLE CODE - Use E10.3293 for bilateral
  • BILLABLE CODE - Use E10.3299 for unspecified eye
  • NON-BILLABLE CODE - E10.33 for Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy
  • NON-BILLABLE CODE - E10.331 for Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema
  • BILLABLE CODE - Use E10.3311 for right eye
  • BILLABLE CODE - Use E10.3312 for left eye
  • BILLABLE CODE - Use E10.3313 for bilateral
  • BILLABLE CODE - Use E10.3319 for unspecified eye
  • NON-BILLABLE CODE - E10.339 for Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema
  • BILLABLE CODE - Use E10.3391 for right eye
  • BILLABLE CODE - Use E10.3392 for left eye
  • BILLABLE CODE - Use E10.3393 for bilateral
  • BILLABLE CODE - Use E10.3399 for unspecified eye
  • NON-BILLABLE CODE - E10.34 for Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy
  • NON-BILLABLE CODE - E10.341 for Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema
  • BILLABLE CODE - Use E10.3411 for right eye
  • BILLABLE CODE - Use E10.3412 for left eye
  • BILLABLE CODE - Use E10.3413 for bilateral
  • BILLABLE CODE - Use E10.3419 for unspecified eye
  • NON-BILLABLE CODE - E10.349 for Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema
  • BILLABLE CODE - Use E10.3491 for right eye
  • BILLABLE CODE - Use E10.3492 for left eye
  • BILLABLE CODE - Use E10.3493 for bilateral
  • BILLABLE CODE - Use E10.3499 for unspecified eye
  • NON-BILLABLE CODE - E10.35 for Type 1 diabetes mellitus with proliferative diabetic retinopathy
  • NON-BILLABLE CODE - E10.351 for Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema
  • BILLABLE CODE - Use E10.3511 for right eye
  • BILLABLE CODE - Use E10.3512 for left eye
  • BILLABLE CODE - Use E10.3513 for bilateral
  • BILLABLE CODE - Use E10.3519 for unspecified eye
  • NON-BILLABLE CODE - E10.352 for Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula
  • BILLABLE CODE - Use E10.3521 for right eye
  • BILLABLE CODE - Use E10.3522 for left eye
  • BILLABLE CODE - Use E10.3523 for bilateral
  • BILLABLE CODE - Use E10.3529 for unspecified eye
  • NON-BILLABLE CODE - E10.353 for Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula
  • BILLABLE CODE - Use E10.3531 for right eye
  • BILLABLE CODE - Use E10.3532 for left eye
  • BILLABLE CODE - Use E10.3533 for bilateral
  • BILLABLE CODE - Use E10.3539 for unspecified eye
  • NON-BILLABLE CODE - E10.354 for Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment
  • BILLABLE CODE - Use E10.3541 for right eye
  • BILLABLE CODE - Use E10.3542 for left eye
  • BILLABLE CODE - Use E10.3543 for bilateral
  • BILLABLE CODE - Use E10.3549 for unspecified eye
  • NON-BILLABLE CODE - E10.355 for Type 1 diabetes mellitus with stable proliferative diabetic retinopathy
  • BILLABLE CODE - Use E10.3551 for right eye
  • BILLABLE CODE - Use E10.3552 for left eye
  • BILLABLE CODE - Use E10.3553 for bilateral
  • BILLABLE CODE - Use E10.3559 for unspecified eye
  • NON-BILLABLE CODE - E10.359 for Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema
  • BILLABLE CODE - Use E10.3591 for right eye
  • BILLABLE CODE - Use E10.3592 for left eye
  • BILLABLE CODE - Use E10.3593 for bilateral
  • BILLABLE CODE - Use E10.3599 for unspecified eye
  • BILLABLE CODE - Use E10.36 for Type 1 diabetes mellitus with diabetic cataract
  • NON-BILLABLE CODE - E10.37 for Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment
  • BILLABLE CODE - Use E10.37X1 for right eye
  • BILLABLE CODE - Use E10.37X2 for left eye
  • BILLABLE CODE - Use E10.37X3 for bilateral
  • BILLABLE CODE - Use E10.37X9 for unspecified eye
  • BILLABLE CODE - Use E10.39 for Type 1 diabetes mellitus with other diabetic ophthalmic complication

Patient Education


Diabetes Type 1

Diabetes means your blood glucose, or blood sugar, levels are too high. With type 1 diabetes, your pancreas does not make insulin. Insulin is a hormone that helps glucose get into your cells to give them energy. Without insulin, too much glucose stays in your blood. Over time, high blood glucose can lead to serious problems with your heart, eyes, kidneys, nerves, and gums and teeth.

Type 1 diabetes happens most often in children and young adults but can appear at any age. Symptoms may include:

A blood test can show if you have diabetes. If you do, you will need to take insulin for the rest of your life. A blood test called the A1C can check to see how well you are managing your diabetes.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


[Learn More in MedlinePlus]

Diabetic Eye Problems

What is diabetes?

Diabetes is a disease in which your blood glucose, or blood sugar, levels are too high. Glucose comes from foods you eat. The cells of your body need glucose for energy. A hormone called insulin helps the glucose get into your cells.

With type 1 diabetes, your body doesn't make insulin. With type 2 diabetes, your body doesn't make or use insulin well. Without enough insulin, glucose builds up in your blood and causes high blood sugar levels.

What eye problems can diabetes cause?

Over time, high blood sugar may damage the blood vessels and lenses in your eyes. This can lead to serious diabetic eye problems which can harm your vision and sometimes cause blindness. Some common diabetes eye problems include:

Who is more likely to develop diabetic eye problems?

Anyone with diabetes can develop diabetic eye disease. But your risk of developing it is higher if you:

What are the symptoms of diabetic eye problems?

In the early stages, diabetic eye problems usually don't have any symptoms. That's why regular dilated eye exams are so important, even if you think your eyes are healthy.

You should also watch for sudden changes in your vision that could mean an emergency. Call your doctor right away if you notice any of these symptoms:

Talk with your doctor if you have these symptoms, even if they come and go:

How are diabetic eye problems diagnosed?

Eye doctors do dilated eye exams to diagnose eye problems. A dilated eye exam uses eye drops to open your pupils wide so your doctor can look for signs of eye problems and treat them before they harm your vision. Your doctor will also test your vision and measure the pressure in your eyes.

What are the treatments for diabetic eye problems?

Treatment for diabetic eye problems depends on the problem and how serious it is. Some of the treatments include:

But these treatments aren't cures. Eye problems can come back. That's why your best defense against serious vision loss is to take control of your diabetes and get regular eye exams. It's also important to keep your blood pressure and cholesterol in a healthy range.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


[Learn More in MedlinePlus]

Type 1 diabetes

Type 1 diabetes is a disorder characterized by abnormally high blood sugar levels. In this form of diabetes, specialized cells in the pancreas called beta cells stop producing insulin. Insulin controls how much glucose (a type of sugar) is passed from the blood into cells for conversion to energy. Lack of insulin results in the inability to use glucose for energy or to control the amount of sugar in the blood.

Type 1 diabetes can occur at any age, from early childhood to late adulthood. The first signs and symptoms of the disorder are caused by high blood sugar and may include frequent urination (polyuria), excessive thirst (polydipsia), fatigue, blurred vision, tingling or loss of feeling in the hands and feet, and weight loss. These symptoms may recur during the course of the disorder if blood sugar is not well controlled by insulin replacement therapy. Improper control can also cause blood sugar levels to become too low (hypoglycemia). This may occur when the body's needs change, such as during exercise or if eating is delayed. Hypoglycemia can cause headache, dizziness, hunger, shaking, sweating, weakness, and agitation.

Uncontrolled type 1 diabetes can lead to a life-threatening complication called diabetic ketoacidosis. Without insulin, cells cannot take in glucose. A lack of glucose in cells prompts the liver to try to compensate by releasing more glucose into the blood, and blood sugar can become extremely high. The cells, unable to use the glucose in the blood for energy, respond by using fats instead. Breaking down fats to obtain energy produces waste products called ketones, which can build up to toxic levels in people with type 1 diabetes, resulting in diabetic ketoacidosis. Affected individuals may begin breathing rapidly; develop a fruity odor in the breath; and experience nausea, vomiting, facial flushing, stomach pain, and dryness of the mouth (xerostomia). In severe cases, diabetic ketoacidosis can lead to coma and death.

Over many years, the chronic high blood sugar associated with diabetes may cause damage to blood vessels and nerves, leading to complications affecting many organs and tissues. The retina, which is the light-sensitive tissue at the back of the eye, can be damaged (diabetic retinopathy), leading to vision loss and eventual blindness. Kidney damage (diabetic nephropathy) may also occur and can lead to kidney failure and end-stage renal disease (ESRD). Pain, tingling, and loss of normal sensation (diabetic neuropathy) often occur, especially in the feet. Impaired circulation and absence of the normal sensations that prompt reaction to injury can result in permanent damage to the feet; in severe cases, the damage can lead to amputation. People with type 1 diabetes are also at increased risk of heart attacks, strokes, and problems with urinary and sexual function.


[Learn More in MedlinePlus]

Diabetic Eye Disease

Learn about diabetes and eye disease; symptoms, warning signs, and treatments; and how you can prevent eye disease—or keep it from getting worse.
[Learn More in MedlinePlus]

Code History