ICD-10-CM Code E10.3

Type 1 diabetes mellitus with ophthalmic complications

Version 2021 Non-Billable Code

Not Valid for Submission

E10.3 is a "header" nonspecific and non-billable 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 valid for the year 2021 for the submission of HIPAA-covered transactions.

ICD-10:E10.3
Short Description:Type 1 diabetes mellitus with ophthalmic complications
Long Description:Type 1 diabetes mellitus with ophthalmic complications

Consider the following ICD-10 codes with a higher level of specificity:

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

Code Classification

  • Endocrine, nutritional and metabolic diseases (E00–E90)
    • Diabetes mellitus (E08-E13)
      • Type 1 diabetes mellitus (E10)

Code History

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

Information for Patients


Diabetes Type 1

Also called: Insulin-dependent diabetes, Juvenile diabetes, Type I diabetes

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

  • Being very thirsty
  • Urinating often
  • Feeling very hungry or tired
  • Losing weight without trying
  • Having sores that heal slowly
  • Having dry, itchy skin
  • Losing the feeling in your feet or having tingling in your feet
  • Having blurry eyesight

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

  • A1C test (Medical Encyclopedia)
  • Diabetes - low blood sugar - self-care (Medical Encyclopedia)
  • Diabetes - tests and checkups (Medical Encyclopedia)
  • Diabetes - when you are sick (Medical Encyclopedia)
  • Diabetes and exercise (Medical Encyclopedia)
  • Diabetic ketoacidosis (Medical Encyclopedia)
  • Giving an insulin injection (Medical Encyclopedia)
  • Type 1 diabetes (Medical Encyclopedia)

[Learn More]

Diabetic Eye Problems

Also called: Diabetic retinopathy

If you have diabetes, your blood glucose, or blood sugar, levels are too high. Over time, this can damage your eyes. The most common problem is diabetic retinopathy. It is a leading cause of blindness in American adults.

Your retina is the light-sensitive tissue at the back of your eye. You need a healthy retina to see clearly. Diabetic retinopathy damages the tiny blood vessels inside your retina.

You may not notice it at first. Symptoms can include

  • Blurry or double vision
  • Rings, flashing lights, or blank spots
  • Dark or floating spots
  • Pain or pressure in one or both of your eyes
  • Trouble seeing things out of the corners of your eyes

Treatment often includes laser treatment or surgery, with follow-up care.

Two other eye problems can happen to people with diabetes. A cataract is a cloud over the lens of your eye. Surgery helps you see clearly again. Glaucoma happens when pressure builds up in the eye, damaging the main nerve. Eye drops or surgery can help.

If you have diabetes, you should have a complete eye exam every year. Finding and treating problems early may save your vision.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • Diabetes - eye care (Medical Encyclopedia)
  • Diabetes and eye disease (Medical Encyclopedia)
  • Diabetes eye exams (Medical Encyclopedia)
  • Fluorescein angiography (Medical Encyclopedia)
  • Intravitreal injection (Medical Encyclopedia)
  • Laser photocoagulation -- eye (Medical Encyclopedia)
  • Standard ophthalmic exam (Medical Encyclopedia)

[Learn More]

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]