ICD-10-CM Code E10.34

Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy

Version 2021 Non-Billable Code

Not Valid for Submission

E10.34 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 severe nonproliferative diabetic retinopathy. The code is NOT valid for the year 2021 for the submission of HIPAA-covered transactions.

ICD-10:E10.34
Short Description:Type 1 diabetes w severe nonprlf diabetic retinopathy
Long Description:Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy

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

  • 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

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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code E10.34:

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.
  • One of the following 7th characters is to be assigned to codes in subcategory E10.34 to designate laterality of the disease:

7th Character

7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
  • 1 - right eye
  • 2 - left eye
  • 3 - bilateral
  • 9 - unspecified eye

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


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.
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