E10.35

Header — not billable

Type 1 diabetes mellitus with proliferative diabetic retinopathy

The ICD-10 code for type 1 diabetes mellitus with proliferative diabetic retinopathy is E10.35.

E10.35 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 6 more specific codes below.

Clinical notes

7th character definitions

These definitions specify what each valid 7th-character value means for codes in this category.

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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 E10.35 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.

E10.35

Clinical notes

7th character definitions

7th character note

Documentation support

Child codes under E10.35

Related codes in this category