Valid for Submission
E11.3523 is a billable diagnosis code used to specify a medical diagnosis of type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral. The code E11.3523 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
E113523 replaces the following previously assigned ICD-10 code(s):
Convert E11.3523 to ICD-9 Code
Information for Patients
Diabetes Type 2
Also called: Type 2 Diabetes
Diabetes means your blood glucose, or blood sugar, levels are too high. With type 2 diabetes, the more common type, your body does not make or use insulin well. 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.
You have a higher risk of type 2 diabetes if you are older, have obesity, have a family history of diabetes, or do not exercise. Having prediabetes also increases your risk. Prediabetes means that your blood sugar is higher than normal but not high enough to be called diabetes. If you are at risk for type 2 diabetes, you may be able to delay or prevent developing it by making some lifestyle changes.
The symptoms of type 2 diabetes appear slowly. Some people do not notice symptoms at all. The symptoms can include
- Being very thirsty
- Urinating often
- Feeling very hungry or tired
- Losing weight without trying
- Having sores that heal slowly
- Having blurry eyesight
Blood tests can show if you have diabetes. One type of test, the A1C, can also check on how you are managing your diabetes. Many people can manage their diabetes through healthy eating, physical activity, and blood glucose testing. Some people also need to take diabetes medicines.
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
- A1C test (Medical Encyclopedia)
- Diabetes type 2 - meal planning (Medical Encyclopedia)
- Giving an insulin injection (Medical Encyclopedia)
- High blood sugar - self-care (Medical Encyclopedia)
- Type 2 diabetes (Medical Encyclopedia)
- Type 2 diabetes - self-care (Medical Encyclopedia)
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)
The retina is a layer of tissue in the back of your eye that senses light and sends images to your brain. It provides the sharp, central vision needed for reading, driving, and seeing fine detail. A retinal detachment lifts or pulls the retina from its normal position. It can occur at any age, but it is more common in people over age 40. It affects men more than women and whites more than African Americans. A retinal detachment is also more likely to occur in people who
- Are extremely nearsighted
- Have had a retinal detachment in the other eye
- Have a family history of retinal detachment
- Have had cataract surgery
- Have other eye diseases or disorders
- Have had an eye injury
Symptoms include an increase in the number of floaters, which are little "cobwebs" or specks that float about in your field of vision, and/or light flashes in the eye. It may also seem like there is a "curtain" over your field of vision.
A retinal detachment is a medical emergency. If not promptly treated, it can cause permanent vision loss. If you have any symptoms, see an eye care professional immediately. Treatment includes different types of surgery.
NIH: National Eye Institute
- Retinal detachment (Medical Encyclopedia)
- Retinal detachment repair (Medical Encyclopedia)
Type 2 diabetes Type 2 diabetes is a disorder characterized by abnormally high blood sugar levels. In this form of diabetes, the body stops using and making insulin properly. Insulin is a hormone produced in the pancreas that helps regulate blood sugar levels. Specifically, insulin controls how much glucose (a type of sugar) is passed from the blood into cells, where it is used as an energy source. When blood sugar levels are high (such as after a meal), the pancreas releases insulin to move the excess glucose into cells, which reduces the amount of glucose in the blood.Most people who develop type 2 diabetes first have insulin resistance, a condition in which the body's cells use insulin less efficiently than normal. As insulin resistance develops, more and more insulin is needed to keep blood sugar levels in the normal range. To keep up with the increasing need, insulin-producing cells in the pancreas (called beta cells) make larger amounts of insulin. Over time, the beta cells become less able to respond to blood sugar changes, leading to an insulin shortage that prevents the body from reducing blood sugar levels effectively. Most people have some insulin resistance as they age, but inadequate exercise and excessive weight gain make it worse, greatly increasing the likelihood of developing type 2 diabetes.Type 2 diabetes can occur at any age, but it most commonly begins in middle age or later. Signs and symptoms develop slowly over years. They include frequent urination (polyuria), excessive thirst (polydipsia), fatigue, blurred vision, tingling or loss of feeling in the hands and feet (diabetic neuropathy), sores that do not heal well, and weight loss. If blood sugar levels are not controlled through medication or diet, type 2 diabetes can cause long-lasting (chronic) health problems including heart disease and stroke; nerve damage; and damage to the kidneys, eyes, and other parts of the body.