E11.3

Non-Billable
ChapterE00–E89
Ranksubcategory
Official Description

Type 2 diabetes mellitus with ophthalmic complications

Metadata & Insights
  • •2026 ICD-10-CM Edition - Effective October 1, 2025.
  • •Non-billable category (requires more specific sub-code).
  • •Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E89).
General instructions are available for the parent sections:
View CH4 NotesView E11 Notes

Clinical Hierarchy

CH4Endocrine, nutritional and metabolic diseases (E00-E89)
E08-E13Diabetes mellitus (E08-E13)
E11Type 2 diabetes mellitus
E11.3Type 2 diabetes mellitus with ophthalmic complications
E11.31Type 2 diabetes mellitus with unspecified diabetic retinopathy
E11.32Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy
E11.33Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy
E11.34Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy
E11.35Type 2 diabetes mellitus with proliferative diabetic retinopathy
E11.36Type 2 diabetes mellitus with diabetic cataract
E11.37Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment
E11.39Type 2 diabetes mellitus with other diabetic ophthalmic complication

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to E11.3:

categoryE11
Type 2 diabetes mellitus
View context instructions
chapterCH4
Endocrine, nutritional and metabolic diseases (E00-E89)
View context instructions

Alphabetic Index Mentions

These are Diagnosis Index lookup paths that route to E11.3. Use them as entry terms for search, then confirm final coding instructions in the Tabular List and notes above.

25 raw paths
Diabetes, diabetic (mellitus) (sugar)25 unique routes
type 2(20 variants)
with(20 variants)
cataract→E11.3
ophthalmic complication NEC→E11.3
retinal, hemorrhage→E11.3
retinopathy→E11.3(17 variants)
nonproliferative→E11.3(8 variants)
mild→E11.3(2 variants)
with macular edema→E11.3
moderate→E11.3(2 variants)
with macular edema→E11.3
severe→E11.3(2 variants)
with macular edema→E11.3
with macular edema→E11.3
proliferative→E11.3(6 variants)
with(5 variants)
combined traction retinal detachment and rhegmatogenous retinal detachment→E11.3
macular edema→E11.3
stable proliferative diabetic retinopathy→E11.3
traction retinal detachment involving the macula→E11.3
traction retinal detachment not involving the macula→E11.3
resolved following treatment→E11.3
with macular edema→E11.3
with(5 variants)
cataract→E11.3
ophthalmic complication NEC→E11.3
retinopathy→E11.3(3 variants)
nonproliferative→E11.3(2 variants)
mild→E11.3

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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