2025 ICD-10-CM code E08.31
(Active) Effective Date: N/A Endocrine, Nutritional and Metabolic Diseases - Diabetes mellitus due to underlying condition 4 Feed
Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy.
Medical necessity is established by the presence of diabetes due to the underlying condition and the associated diabetic retinopathy.Further documentation may be required to support the medical necessity of specific treatments.
Diabetic retinopathy is a complication of diabetes affecting the retina. It causes blocked blood vessels and abnormal blood vessel growth, potentially leading to vision loss. Symptoms may include eye pain, blurred vision, double vision, retinal detachment, headache, cataracts, glaucoma, dizziness, increased thirst and urination, extreme hunger, fatigue, weight loss, and frequent infections. Diagnosis involves a physical exam, eye exam, blood tests, urine and stool analysis, and imaging studies. Treatment addresses the underlying cause and manages diabetes.
In simple words: This is a type of diabetes caused by another health problem, like cystic fibrosis or cancer, that also has an eye problem called diabetic retinopathy.The specific type of eye problem isn't known.
Diabetes mellitus (DM) due to an underlying condition with unspecified diabetic retinopathy is a condition where the body doesn't produce or use insulin effectively, leading to high blood sugar and diabetic retinopathy.The underlying causes can vary, including cystic fibrosis, malignant neoplasms, malnutrition, pancreatitis, and Cushing syndrome. The type of diabetic retinopathy is not specified.
Example 1: A patient with cystic fibrosis presents with elevated blood sugar and blurred vision. Examination reveals diabetic retinopathy., A patient undergoing chemotherapy for a malignant neoplasm develops high blood sugar and is found to have diabetic retinopathy., A patient with chronic pancreatitis experiences increased thirst, frequent urination, and vision changes. They are diagnosed with diabetes and unspecified diabetic retinopathy.
Documentation should include the type of diabetes, the underlying condition, details about the diabetic retinopathy (if specified), and any associated symptoms.
** This code does not specify the type of diabetic retinopathy.If the type is known, a more specific code should be used.If the patient has diabetes due to drug or chemical induced diabetes mellitus, gestational diabetes, neonatal diabetes mellitus, postpancreatectomy diabetes mellitus, or postprocedural diabetes mellitus. different codes should be used (E09.-, O24.4-, P70.2, E13.-, or E13.-, respectively).
- Specialties:Endocrinology, Ophthalmology, Internal Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital