FY2025
Effective from
- Inherited rules changed
Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema
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
Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema
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 | Specificity changed · 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 |
The official Tabular List has no additional instructions at this code level.
Review the instructions inherited from its parent categories below. Inherited instructions ↓
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.
One of the following 7th characters is to be assigned to codes in subcategory E13.33 to designate laterality of the disease:
1 — right eye
2 — left eye
3 — bilateral
9 — unspecified eye
E13.3391Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eyeBillable / specificE13.3392Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eyeBillable / specificE13.3393Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateralBillable / specificE13.3399Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eyeBillable / specificOther entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| E13.331 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema | Category · further specificity required |
Official titles and instructions are preserved in their source language. Official sources ↗