E13.3511

Billable
ChapterE00–E89
Ranksubcategory
Official Description

Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye

Metadata & Insights
  • Billable/specific code (valid for reimbursement).
  • Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E89).
General instructions are available for the parent sections:

Clinical Hierarchy

BillableHas subcodes
CH4Endocrine, nutritional and metabolic diseases (E00-E89)
E08-E13Diabetes mellitus (E08-E13)
E13Other specified diabetes mellitus
E13.3Other specified diabetes mellitus with ophthalmic complications
E13.35Other specified diabetes mellitus with proliferative diabetic retinopathy
E13.351Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema
E13.3511Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eyeBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to E13.3511:

categoryE13
Other specified diabetes mellitus
View context instructions
chapterCH4
Endocrine, nutritional and metabolic diseases (E00-E89)
View context instructions

Code History

  • FY 2016: This code replaced E13.351 (Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema)

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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