E13.34
Header — not billableOther specified diabetes mellitus with severe nonproliferative diabetic retinopathy
The ICD-10 code for other specified diabetes mellitus with severe nonproliferative diabetic retinopathy is E13.34.
E13.34 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 2 more specific codes below.
Clinical notes
7th character definitions
These definitions specify what each valid 7th-character value means for codes in this category.
- [object Object]
7th character note
This category requires a 7th character to indicate additional clinical detail (e.g. encounter type: initial, subsequent, sequela). The code is incomplete without it.
- One of the following 7th characters is to be assigned to codes in subcategory E13.34 to designate laterality of the disease:
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •This category requires a 7th character. Documentation should clearly indicate the episode of care (initial encounter, subsequent encounter, or sequela).
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- E13.31Other specified diabetes mellitus with unspecified diabetic retinopathynon-billable header
- E13.32Other specified diabetes mellitus with mild nonproliferative diabetic retinopathynon-billable header
- E13.33Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathynon-billable header
- E13.35Other specified diabetes mellitus with proliferative diabetic retinopathynon-billable header
- E13.36Other specified diabetes mellitus with diabetic cataract
- E13.37Other specified diabetes mellitus with diabetic macular edema, resolved following treatment
- E13.39Other specified diabetes mellitus with other diabetic ophthalmic complication
- E13.34Other specified diabetes mellitus with severe nonproliferative diabetic retinopathynon-billable header