E13.3
Non-Billable

Other specified diabetes mellitus with ophthalmic complications

Non-Billable / Non-Specific Code

What is Other specified diabetes mellitus with ophthalmic complications?

ICD-10-CM E13.3 is the diagnosis code for Other specified diabetes mellitus with ophthalmic complications. This code falls under the section "Diabetes mellitus" within Chapter 4 — Endocrine, nutritional and metabolic diseases (E00-E89). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for E13.3

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where E13.3 sits in the ICD-10-CM classification helps ensure proper coding:

Current CodeE13.3 — Other specified diabetes mellitus with ophthalmic complications
Sub-Codes 8 entries
E13.31Other specified diabetes mellitus with unspecified diabetic retinopathyNon-BillableE13.311Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edemaBillableE13.319Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edemaBillableE13.32Other specified diabetes mellitus with mild nonproliferative diabetic retinopathyNon-BillableE13.321Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edemaBillableE13.329Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edemaBillableE13.33Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathyNon-BillableE13.331Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edemaBillableE13.339Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edemaBillableE13.34Other specified diabetes mellitus with severe nonproliferative diabetic retinopathyNon-BillableE13.341Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edemaBillableE13.349Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edemaBillableE13.35Other specified diabetes mellitus with proliferative diabetic retinopathyNon-BillableE13.351Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edemaBillableE13.352Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the maculaBillableE13.353Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the maculaBillableE13.354Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachmentBillableE13.355Other specified diabetes mellitus with stable proliferative diabetic retinopathyBillableE13.359Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edemaBillableE13.36Other specified diabetes mellitus with diabetic cataractBillableE13.37Other specified diabetes mellitus with diabetic macular edema, resolved following treatmentBillableE13.39Other specified diabetes mellitus with other diabetic ophthalmic complicationBillable
Related Codes

Frequently Asked Questions

Is E13.3 a billable ICD-10-CM code?

No, E13.3 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does E13.3 mean?

E13.3 is the ICD-10-CM diagnosis code for "Other specified diabetes mellitus with ophthalmic complications". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of E13.3?

The parent code of E13.3 is E13 ("Other specified diabetes mellitus"). E13.3 provides a more specific classification within this category.

What section is E13.3 in?

E13.3 is located in Section E08-E13 — "Diabetes mellitus" within Chapter 4 of the ICD-10-CM Tabular List.

What are the sub-codes of E13.3?

E13.3 has 8 sub-code(s) that provide more specific detail: E13.31, E13.32, E13.33, E13.34, E13.35 and more.

When should I use E13.3?

Use E13.3 when the patients documented diagnosis matches "Other specified diabetes mellitus with ophthalmic complications" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Other specified diabetes mellitus with ophthalmic complications?

The ICD-10-CM code for Other specified diabetes mellitus with ophthalmic complications is E13.3.

Can E13.3 be used for primary diagnosis?

No, E13.3 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is E13.3 in?

E13.3 is in Chapter 4 of the ICD-10-CM Tabular List.

Is E13.3 valid for 2026?

Yes, E13.3 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousE13.29Other specified diabetes mellitus with other diabetic kidney complicationNext →E13.31Other specified diabetes mellitus with unspecified diabetic retinopathy
Code Details
E13.3
Other specified diabetes mellitus with ophthalmic complications
Non-Billable / Non-Specific Code
4 — Endocrine, nutritional and metabolic diseases (E00-E89)
E08-E13 — Diabetes mellitus
2026 ICD-10-CM