Billable / Specific Code
ICD-10-CM E13.351 is the diagnosis code for Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema. This code falls under the section "Diabetes mellitus" within Chapter 4 — Endocrine, nutritional and metabolic diseases (E00-E89). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
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.
Understanding where E13.351 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, E13.351 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
E13.351 is the ICD-10-CM diagnosis code for "Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of E13.351 is E13.35 ("Other specified diabetes mellitus with proliferative diabetic retinopathy"). E13.351 provides a more specific classification within this category.
E13.351 is located in Section E08-E13 — "Diabetes mellitus" within Chapter 4 of the ICD-10-CM Tabular List.
Use E13.351 when the patients documented diagnosis matches "Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema is E13.351.
Yes, E13.351 can be used as a primary diagnosis code since it is billable and specific.
E13.351 is in Chapter 4 of the ICD-10-CM Tabular List.
Yes, E13.351 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.