2026 ICD-10-CM Diagnosis Code E11.39Type 2 diabetes mellitus with other diabetic ophthalmic complication

ICD-10-CM Codes›E00–E89›E08-E13›E11

ICD-10-CM E11.39
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

E11.39 is a billable ICD-10-CM diagnosis code for type 2 diabetes mellitus with other diabetic ophthalmic complication. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 124 through 125. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Diabetes mellitus with complication; and Diabetes mellitus, Type 2.

This medical diagnosis code is frequently used in Family Practice medical specialties to designate conditions such diabetes mellitus with complications type 2.

Code Identity

ICD-10-CM Code
E11.39
Billable Status
Yes — Valid for Submission
Code Describes
Type 2 diabetes mellitus with other diabetic ophthalmic complication
Short Description
Type 2 diabetes w oth diabetic ophthalmic complication
Parent Code
E11.3
Type 2 diabetes mellitus with ophthalmic complications

Code Classification

ChapterE00–E89Endocrine, nutritional and metabolic diseases
SectionE08-E13Diabetes mellitus
CategoryE11Type 2 diabetes mellitus
This CodeE11.39Type 2 diabetes mellitus with other diabetic ophthalmic complication

Quality Payment Program MeasuresBilling

Medicare quality measures that can apply when E11.39 is part of the patient record.

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

High Priority: YES

Measure Type: Intermediateoutcome

Submission Methods: Claims, Electronic Health Record, Cms Web Interface, Registry

Description: Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period.

View Measure

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral iritis due to diabetes mellitus
  • Bilateral optic atrophy of eyes
  • Blindness due to type 2 diabetes mellitus
  • Cranial nerve palsy due to diabetes mellitus
  • Diabetic intraretinal microvascular anomaly
  • Diabetic neurotrophic keratitis
  • Diabetic optic papillopathy
  • Disorder of eye due to diabetes mellitus
  • Disorder of eye due to type 2 diabetes mellitus
  • Exudative maculopathy due to type 2 diabetes mellitus
  • Glaucoma due to diabetes mellitus
  • Glaucoma due to type 2 diabetes mellitus
  • Glaucoma in endocrine, nutritional and metabolic diseases
  • Glaucoma suspect due to diabetes mellitus type 2
  • Hemorrhage of left vitreous body
  • Hemorrhage of right vitreous body
  • Iritis due to diabetes mellitus
  • Iritis of left eye due to diabetes mellitus
  • Iritis of right eye due to diabetes mellitus
  • Ischemia of retina due to diabetes mellitus
  • Ischemia of retina due to type 2 diabetes mellitus
  • Ischemic maculopathy
  • Ischemic maculopathy due to diabetes mellitus
  • Macular edema due to type 2 diabetes mellitus
  • Mixed maculopathy due to diabetes mellitus
  • Neovascular angle closure glaucoma
  • Neovascular glaucoma due to diabetes mellitus
  • Neovascular glaucoma due to diabetes mellitus type 2
  • Neurotrophic keratitis
  • Ophthalmoplegia due to diabetes mellitus
  • Retinal edema due to type 2 diabetes mellitus
  • Retinal ischemia
  • Rubeosis iridis
  • Rubeosis iridis due to type 2 diabetes mellitus
  • Third cranial nerve finding
  • Traction detachment of retina due to diabetes mellitus
  • Traction detachment of retina due to type 2 diabetes mellitus
  • Vitreous hemorrhage due to diabetes mellitus
  • Vitreous hemorrhage due to type 2 diabetes mellitus
  • Vitreous hemorrhage of left eye due to diabetes mellitus
  • Vitreous hemorrhage of right eye due to diabetes mellitus
  • Wolfram syndrome

Coding GuidelinesGuidance

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.

If the type of diabetes mellitus is not documented in the medical record the default is E11.-, Type 2 diabetes mellitus.

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Use Additional Code

  • code to identify manifestation, such as:
  • diabetic glaucoma H40 H42

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Diabetes, diabetic(mellitus) (sugar)
      • with
        • ophthalmic complication NEC
    • Diabetes, diabetic(mellitus) (sugar)
      • type 2
        • with
          • ophthalmic complication NEC
    • Diabetes, diabetic(mellitus) (sugar)
      • type 2
        • with
          • retinal, hemorrhage

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR END003
Diabetes mellitus with complication
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR END005
Diabetes mellitus, Type 2
Default principal diagnosis: inpatient No · outpatient No

Clinical InformationClinical

  • Wolfram Syndrome

    a hereditary condition characterized by multiple symptoms including those of diabetes insipidus; diabetes mellitus; optic atrophy; and deafness. this syndrome is also known as didmoad (first letter of each word) and is usually associated with vasopressin deficiency. it is caused by mutations in gene wfs1 encoding wolframin, a 100-kda transmembrane protein.

Patient EducationClinical

Diabetes Type 2

Type 2 diabetes is a disease in which your blood glucose, or blood sugar, levels are too high. Glucose is your main source of energy. It comes from the foods you eat. A hormone called insulin helps the glucose get into your cells to give them energy. If you have diabetes, your body doesn't make enough insulin or doesn't use insulin well.

The full article covers:

  • What is type 2 diabetes?
  • What causes type 2 diabetes?
  • Who is at risk for type 2 diabetes?
  • What are the symptoms of type 2 diabetes?
  • How is type 2 diabetes diagnosed?
  • What are the treatments for type 2 diabetes?
  • Can type 2 diabetes be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert E11.39 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
250.50 DMII ophth nt st uncntrl
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About E11.39Overview

Is E11.39 (Type 2 diabetes mellitus with ophthalmic complications) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report type 2 diabetes mellitus with other diabetic ophthalmic complication on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does E11.39 group to?

When type 2 diabetes mellitus with other diabetic ophthalmic complication is the principal diagnosis on an inpatient stay, it groups to MS-DRG 124, 125, with relative weights from 0.7678 to 1.3231 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of E11.39?

Under the General Equivalence Mappings, type 2 diabetes mellitus with other diabetic ophthalmic complication converts to ICD-9-CM 250.50 (DMII ophth nt st uncntrl). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.