E10.35 – Type 1 diabetes mellitus with proliferative diabetic retinopathy
ICD-10-CM 2027 diagnosis code · Diabetes mellitus
- Code
E10.35(claims format:E1035)- Description
- Type 1 diabetes mellitus with proliferative diabetic retinopathy
- Short description
- Type 1 diabetes w proliferative diabetic retinopathy
- Billable
- No – use a more specific code below
- Valid for
- Dates of service October 1, 2026 – September 30, 2027 (FY2027)
- Chapter
- 4. Endocrine, nutritional and metabolic diseases (E00-E89)
- Block
- E08-E13 Diabetes mellitus
- Parent codes
- E10 › E10.3
Billable codes under E10.35
E10.35 is a header code and cannot be used on claims. Choose the most specific code:
- E10.351 – Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edemaHeader (more codes below)
- E10.352 – Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the maculaHeader (more codes below)
- E10.353 – Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the maculaHeader (more codes below)
- E10.354 – Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachmentHeader (more codes below)
- E10.355 – Type 1 diabetes mellitus with stable proliferative diabetic retinopathyHeader (more codes below)
- E10.359 – Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edemaHeader (more codes below)
7th character values
Codes in this category need a 7th character to describe the encounter or episode of care (use placeholder X for empty positions).
| Character | Meaning |
|---|---|
1 | right eye |
2 | left eye |
3 | bilateral |
9 | unspecified eye |
Notes for E10.35
- One of the following 7th characters is to be assigned to codes in subcategory E10.35 to designate laterality of the disease:
Notes inherited from parent codes
Instructional notes at a category or block level apply to every code below it.
E10 – Type 1 diabetes mellitus
- brittle diabetes (mellitus)
- diabetes (mellitus) due to autoimmune process
- diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction
- idiopathic diabetes (mellitus)
- juvenile onset diabetes (mellitus)
- ketosis-prone diabetes (mellitus)
- diabetes mellitus due to underlying condition (E08.-)
- drug or chemical induced diabetes mellitus (E09.-)
- gestational diabetes (O24.4-)
- hyperglycemia NOS (R73.9)
- neonatal diabetes mellitus (P70.2)
- postpancreatectomy diabetes mellitus (E13.-)
- postprocedural diabetes mellitus (E13.-)
- secondary diabetes mellitus NEC (E13.-)
- type 2 diabetes mellitus (E11.-)
Related codes in E10.3
- E10.31 – Type 1 diabetes mellitus with unspecified diabetic retinopathyHeader
- E10.32 – Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathyHeader
- E10.33 – Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathyHeader
- E10.34 – Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathyHeader
- E10.36 – Type 1 diabetes mellitus with diabetic cataractBillable
- E10.37 – Type 1 diabetes mellitus with diabetic macular edema, resolved following treatmentHeader
- E10.39 – Type 1 diabetes mellitus with other diabetic ophthalmic complicationBillable
Frequently asked questions
What is ICD-10 code E10.35?
E10.35 is the ICD-10-CM code for type 1 diabetes mellitus with proliferative diabetic retinopathy, in the block E08-E13 (Diabetes mellitus).
Is E10.35 a billable code?
No. E10.35 is a header code with more specific child codes; report one of the billable codes listed above.
What category does E10.35 belong to?
It belongs to category E10 – Type 1 diabetes mellitus.
Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.