FY2025
Effective from
- Inherited rules changed
Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy
Category — select a more specific code
CDC/NCHS · FY20251 — right eye
2 — left eye
3 — bilateral
9 — unspecified eye
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
Latest recorded change · FY2025
Effective from
Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy
Category — select a more specific code
CDC/NCHS · FY2025| All editions | Effective from | Code history |
|---|---|---|
| FY2016 | 2015-10-01 | First observed |
| FY2017 | 2016-10-01 | Code-level rules changed · Inherited rules changed |
| FY2018 | 2017-10-01 | No tabular change |
| 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 |
One of the following 7th characters is to be assigned to codes in subcategory E08.33 to designate laterality of the disease:
1 — right eye
2 — left eye
3 — bilateral
9 — unspecified eye
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.
E08.331Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edemaCategory · further specificity requiredE08.339Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edemaCategory · further specificity requiredOther entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| E08.31 | Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy | Category · further specificity required |
| E08.32 | Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy | Category · further specificity required |
| E08.34 | Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy | Category · further specificity required |
| E08.35 | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy | Category · further specificity required |
| E08.36 | Diabetes mellitus due to underlying condition with diabetic cataract | Billable / specific |
| E08.37 | Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment | Category · further specificity required |
| E08.39 | Diabetes mellitus due to underlying condition with other diabetic ophthalmic complication | Billable / specific |
Official titles and instructions are preserved in their source language. Official sources ↗