Alphabetic Index FY2027

E11.3

Type 2 diabetes mellitus with ophthalmic complications

FY2027Chapter 4: Endocrine, nutritional and metabolic diseases/E08–E13 Diabetes mellitus

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

E11.3 is a non-billable ICD-10-CM code header for type 2 diabetes mellitus with ophthalmic complications. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are E11.31 Type 2 diabetes mellitus with unspecified diabetic retinopathy, E11.32 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy, E11.33 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy, E11.34 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy and 4 more. Its coding notes include a Use additional code instruction and 9 Excludes1 entries.

Guidelines tips

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

If the type of diabetes is not documented, the default is E11.-. Use of insulin, oral hypoglycemics or injectable non-insulin drugs adds a Z79 code, except when insulin is given temporarily.

Guidelines I.C.4.a.2; I.C.4.a.3Diabetes mellitus: type not documented and insulin useRead the official text

Diabetes codes combine the type, the body system and the complication, and as many codes as needed are assigned to describe all complications.

Guidelines I.C.4.aDiabetes: combination codesRead the official text

Use additional code

Add the listed code as a secondary code, if known.

Inherited from E11 Type 2 diabetes mellitus
  • 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)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from E11 Type 2 diabetes mellitus
  • diabetes mellitus due to underlying condition (E08.-)
  • drug or chemical induced diabetes mellitus (E09.-)
  • gestational diabetes (O24.4-)
  • neonatal diabetes mellitus (P70.2)
  • postpancreatectomy diabetes mellitus (E13.-)
  • postprocedural diabetes mellitus (E13.-)
  • secondary diabetes mellitus NEC (E13.-)
  • type 1 diabetes mellitus (E10.-)
Also from chapter/block level (1 note)
Inherited from Chapter 4 Endocrine, nutritional and metabolic diseases
  • transitory endocrine and metabolic disorders specific to newborn (P70-P74)

Includes

Further defines or gives examples of the content of the category.

Inherited from E11 Type 2 diabetes mellitus
  • diabetes (mellitus) due to insulin secretory defect
  • diabetes NOS
  • insulin resistant diabetes (mellitus)

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 4 Endocrine, nutritional and metabolic diseases
  • 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 under E11.3 8