Billable / Specific Code
ICD-10-CM E10.311 is the diagnosis code for Type 1 diabetes mellitus with unspecified 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 E10.311 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, E10.311 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
E10.311 is the ICD-10-CM diagnosis code for "Type 1 diabetes mellitus with unspecified 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 E10.311 is E10.31 ("Type 1 diabetes mellitus with unspecified diabetic retinopathy"). E10.311 provides a more specific classification within this category.
E10.311 is located in Section E08-E13 — "Diabetes mellitus" within Chapter 4 of the ICD-10-CM Tabular List.
Use E10.311 when the patients documented diagnosis matches "Type 1 diabetes mellitus with unspecified 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 Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema is E10.311.
Yes, E10.311 can be used as a primary diagnosis code since it is billable and specific.
E10.311 is in Chapter 4 of the ICD-10-CM Tabular List.
Yes, E10.311 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.