E13.3CurrentCategory · further specificity required

Other specified diabetes mellitus with ophthalmic complications

E13 · Inherited instructions

Use additional code

code to identify control using:
injectable non-insulin antidiabetic drugs (Z79.85)
insulin (Z79.4)
oral antidiabetic drugs (Z79.84)
oral hypoglycemic drugs (Z79.84)

Excludes 1

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.-)

Chapters 4 · Inherited instructions

Excludes 1

transitory endocrine and metabolic disorders specific to newborn (P70-P74)

More specific codes

E13.31Other specified diabetes mellitus with unspecified diabetic retinopathy E13.32Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy E13.33Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy E13.34Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy E13.35Other specified diabetes mellitus with proliferative diabetic retinopathy E13.36Other specified diabetes mellitus with diabetic cataract E13.37Other specified diabetes mellitus with diabetic macular edema, resolved following treatment E13.39Other specified diabetes mellitus with other diabetic ophthalmic complication

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2025

ChangedUnchanged

FY2025

Effective from 2024-10-01

Inherited rules changed

Other specified diabetes mellitus with ophthalmic complications

Category — select a more specific code

CDC/NCHS · FY2025

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	Inherited rules changed
FY2018	2017-10-01	Inherited rules changed
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	No tabular change
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	Inherited rules changed
FY2025 · 04-01	2025-04-01	No tabular change
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Code-level instructions

The official Tabular List has no additional instructions at this code level.

Review the instructions inherited from its parent categories below. Inherited instructions ↓

Review the official coding guidelines ↗

Inherited instructions

E13 · Other specified diabetes mellitus

Includes

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

Excludes 1

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.-)

Use additional code

code to identify control using:
injectable non-insulin antidiabetic drugs (Z79.85)
insulin (Z79.4)
oral antidiabetic drugs (Z79.84)
oral hypoglycemic drugs (Z79.84)

Chapters 4 · Endocrine, nutritional and metabolic diseases (E00-E89)

Excludes 1

transitory endocrine and metabolic disorders specific to newborn (P70-P74)

Note

All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.

More specific codes

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
E13.0	Other specified diabetes mellitus with hyperosmolarity	Category · further specificity required
E13.1	Other specified diabetes mellitus with ketoacidosis	Category · further specificity required
E13.2	Other specified diabetes mellitus with kidney complications	Category · further specificity required
E13.4	Other specified diabetes mellitus with neurological complications	Category · further specificity required
E13.5	Other specified diabetes mellitus with circulatory complications	Category · further specificity required
E13.6	Other specified diabetes mellitus with other specified complications	Category · further specificity required
E13.8	Other specified diabetes mellitus with unspecified complications	Billable / specific
E13.9	Other specified diabetes mellitus without complications	Billable / specific

Official titles and instructions are preserved in their source language. Official sources ↗