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BETA v.3.0

2025 ICD-10-CM code E08.39

Diabetes mellitus due to underlying condition with other diabetic ophthalmic complication. Use additional code to identify manifestation, such as diabetic glaucoma (H40-H42).

Code first the underlying condition causing the diabetes. Use additional codes to specify the type of diabetes if applicable (e.g., insulin-dependent, non-insulin-dependent) and the specific eye complication (e.g., glaucoma, optic neuropathy).

Medical necessity should be established by documenting the relationship between the underlying condition, diabetes, and the specific eye complication. Documentation should support the need for the services provided, such as diagnostic testing, medications, or specialist referrals.

Physicians managing this condition should focus on diagnosing and treating the underlying cause while also managing the diabetes and associated eye complications. Regular eye exams are crucial for early detection and intervention.

In simple words: This condition refers to diabetes resulting from an underlying health issue, causing eye problems other than common diabetic eye diseases.It's essential to identify and treat both the underlying cause and the diabetes to manage the eye complications effectively.

Diabetes mellitus due to underlying condition with other diabetic ophthalmic complication. This code excludes diabetic cataract (E08.36), diabetic macular edema (E08.37), diabetic retinopathy (E08.31-E08.35), drug or chemical induced diabetes mellitus (E09.-), gestational diabetes (O24.4-), neonatal diabetes mellitus (P70.2), postpancreatectomy diabetes mellitus (E13.-), postprocedural diabetes mellitus (E13.-), secondary diabetes mellitus NEC (E13.-), type 1 diabetes mellitus (E10.-), and type 2 diabetes mellitus (E11.-).

Example 1: A patient with cystic fibrosis develops diabetes and experiences blurred vision due to diabetic ophthalmic complications other than retinopathy, macular edema or cataracts.Code E08.39 would be used, along with a code for cystic fibrosis and a code specifying the ophthalmic complication if known (e.g., glaucoma)., A patient with a malignant neoplasm of the pancreas develops diabetes and is diagnosed with neovascular glaucoma. Code E08.39 is used along with the code for the pancreatic neoplasm and the code for glaucoma (H40.-)., A patient with Cushing's syndrome develops diabetes and also suffers from diabetic optic neuropathy.The physician uses code E08.39, along with E24.- for Cushing's syndrome and H47.23 for the optic neuropathy.

Documentation should include the type of diabetes, the underlying condition causing the diabetes, the specific diabetic ophthalmic complication, and details of treatments administered.

** For accurate coding, it's crucial to distinguish E08.39 from other diabetic eye complications. Use additional codes to capture the specific eye manifestations and ensure comprehensive documentation to support medical necessity.

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