E13.355 – Other specified diabetes mellitus with stable proliferative diabetic retinopathy
ICD-10-CM 2027 diagnosis code · Diabetes mellitus
- Code
E13.355(claims format:E13355)- Description
- Other specified diabetes mellitus with stable proliferative diabetic retinopathy
- Short description
- Oth diabetes with stable 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
- E13 › E13.3 › E13.35
Billable codes under E13.355
E13.355 is a header code and cannot be used on claims. Choose the most specific code:
- E13.3551 – Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eyeBillable
- E13.3552 – Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eyeBillable
- E13.3553 – Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateralBillable
- E13.3559 – Other specified diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eyeBillable
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.
E13 – Other specified diabetes mellitus
- diabetes mellitus due to genetic defects of beta-cell function
- diabetes mellitus due to genetic defects in insulin action
- postpancreatectomy diabetes mellitus
- postprocedural diabetes mellitus
- secondary diabetes mellitus NEC
- diabetes (mellitus) due to autoimmune process (E10.-)
- diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction (E10.-)
- diabetes mellitus due to underlying condition (E08.-)
- drug or chemical induced diabetes mellitus (E09.-)
- gestational diabetes (O24.4-)
- neonatal diabetes mellitus (P70.2)
- type 1 diabetes mellitus (E10.-)
E13.35 – Other specified diabetes mellitus with proliferative diabetic retinopathy
- One of the following 7th characters is to be assigned to codes in subcategory E13.35 to designate laterality of the disease:
Index terms for E13.355
Entries in the ICD-10-CM alphabetic index that lead to this code:
Related codes in E13.35
- E13.351 – Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edemaHeader
- E13.352 – Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the maculaHeader
- E13.353 – Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the maculaHeader
- E13.354 – Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachmentHeader
- E13.359 – Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edemaHeader
Frequently asked questions
What is ICD-10 code E13.355?
E13.355 is the ICD-10-CM code for other specified diabetes mellitus with stable proliferative diabetic retinopathy, in the block E08-E13 (Diabetes mellitus).
Is E13.355 a billable code?
No. E13.355 is a header code with more specific child codes; report one of the billable codes listed above.
What category does E13.355 belong to?
It belongs to category E13 – Other specified 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.