Diabetic Retinopathy ICD-10-CM Codes

What ICD Codes Are Used for Diabetic Retinopathy?

When addressing Diabetic Retinopathy, it's essential to be familiar with the specific Diabetic Retinopathy ICD codes for accurate clinical documentation and billing. Diabetic Retinopathy is a diabetes complication that affects the eyes. Here are some commonly used ICD codes related to this condition:

• E10.311 - Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema: This code is used for cases of Type 1 diabetes with retinopathy and macular edema.
• E10.319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema: Represents cases of Type 1 diabetes with retinopathy but without macular edema.
• E11.311 - Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema: Used for cases of Type 2 diabetes with retinopathy and macular edema.

Using the right codes ensures that patients receive the appropriate care and that healthcare providers are reimbursed accurately.

Which Diabetic Retinopathy ICD Codes Are Billable?

All the ICD codes mentioned for Diabetic Retinopathy are typically billable as they represent specific medical conditions that require intervention. Proper documentation is crucial to ensure accurate billing and prevent potential discrepancies.

Clinical Information

Diabetic Retinopathy has specific clinical characteristics:

• It's the most common cause of vision impairment among people with diabetes.
• The condition affects blood vessels in the light-sensitive tissue called the retina.
• Early stages might not have noticeable symptoms, but it can lead to vision loss as it progresses.
• Regular eye exams and managing blood sugar levels can help prevent or slow the progression.
• Treatment options include laser surgery, vitrectomy, and injections.

Synonyms Include:

• Diabetic Eye Disease
• Retinopathy due to Diabetes
• Diabetic Vision Loss
• Diabetes-Related Retinal Damage
• Diabetic Macular Edema