E11.3511 – Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye

ICD-10-CM 2027 diagnosis code · Diabetes mellitus

Billable code

ICD-10-CM code E11.3511

Code: E11.3511 (claims format: E113511)
Description: Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
Short description: Type 2 diab with prolif diab rtnop with macular edema, r eye
Billable: Yes – valid for HIPAA-covered transactions
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 › E11.35 › E11.351

7th character values

Codes in this category need a 7th character to describe the encounter or episode of care.

Character	Meaning
`1`	right eye
`2`	left eye
`3`	bilateral
`9`	unspecified eye

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

E11 – Type 2 diabetes mellitus

Includes:

diabetes (mellitus) due to insulin secretory defect
diabetes NOS
insulin resistant diabetes (mellitus)

Excludes1 (not coded here):

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.-)

Use additional code:

code to identify control using:
injectable non-insulin antidiabetic drugs (Z79.85)
insulin (Z79.4)
oral antidiabetic drugs (Z79.84)
oral hypoglycemic drugs (Z79.84)

E11.35 – Type 2 diabetes mellitus with proliferative diabetic retinopathy

7th character note:

One of the following 7th characters is to be assigned to codes in subcategory E11.35 to designate laterality of the disease:

Related codes in E11.351

Frequently asked questions

What is ICD-10 code E11.3511?

E11.3511 is the ICD-10-CM code for type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye, in the block E08-E13 (Diabetes mellitus).

Is E11.3511 a billable code?

Yes. E11.3511 is a billable/specific code that can be used to indicate a diagnosis for reimbursement purposes.

What category does E11.3511 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.