E11.35 – Type 2 diabetes mellitus with proliferative diabetic retinopathy
ICD-10-CM 2027 diagnosis code · Diabetes mellitus
- Code
E11.35(claims format:E1135)- Description
- Type 2 diabetes mellitus with proliferative diabetic retinopathy
- Short description
- Type 2 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
- E11 › E11.3
Billable codes under E11.35
E11.35 is a header code and cannot be used on claims. Choose the most specific code:
- E11.351 – Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edemaHeader (more codes below)
- E11.352 – Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the maculaHeader (more codes below)
- E11.353 – Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the maculaHeader (more codes below)
- E11.354 – Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachmentHeader (more codes below)
- E11.355 – Type 2 diabetes mellitus with stable proliferative diabetic retinopathyHeader (more codes below)
- E11.359 – Type 2 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 E11.35
- One of the following 7th characters is to be assigned to codes in subcategory E11.35 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.
E11 – Type 2 diabetes mellitus
- diabetes (mellitus) due to insulin secretory defect
- diabetes NOS
- insulin resistant diabetes (mellitus)
- diabetes mellitus due to underlying condition (E08.-)
- drug or chemical induced diabetes mellitus (E09.-)
- gestational diabetes (O24.4-)
- neonatal diabetes mellitus (P70.2)
- postpancreatectomy diabetes mellitus (E13.-)
- postprocedural diabetes mellitus (E13.-)
- secondary diabetes mellitus NEC (E13.-)
- type 1 diabetes mellitus (E10.-)
Related codes in E11.3
- E11.31 – Type 2 diabetes mellitus with unspecified diabetic retinopathyHeader
- E11.32 – Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathyHeader
- E11.33 – Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathyHeader
- E11.34 – Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathyHeader
- E11.36 – Type 2 diabetes mellitus with diabetic cataractBillable
- E11.37 – Type 2 diabetes mellitus with diabetic macular edema, resolved following treatmentHeader
- E11.39 – Type 2 diabetes mellitus with other diabetic ophthalmic complicationBillable
Frequently asked questions
What is ICD-10 code E11.35?
E11.35 is the ICD-10-CM code for type 2 diabetes mellitus with proliferative diabetic retinopathy, in the block E08-E13 (Diabetes mellitus).
Is E11.35 a billable code?
No. E11.35 is a header code with more specific child codes; report one of the billable codes listed above.
What category does E11.35 belong to?
It belongs to category E11 – Type 2 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.