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BETA v.3.0

2025 ICD-10-CM code E10.39

Type 1 diabetes mellitus with other diabetic ophthalmic complication. This code is used for ophthalmic complications not otherwise specified.

It is essential to use additional codes to specify the exact nature of the ophthalmic complication when known. If the specific complication is documented, the corresponding code should be used instead of E10.39.

Medical necessity for the use of this code is established when the ophthalmic complication is clearly documented as being related to the patient's Type 1 diabetes.Documentation should support the need for diagnostic testing or treatment.

Clinicians should document the specific ophthalmic complication(s) present in patients with Type 1 diabetes.Diagnosis is based on history, physical examination, and diagnostic tests such as ophthalmoscopy, tonometry, and others. Treatment may include laser photocoagulation, vitrectomy, surgery, and medications.

IMPORTANT:Use additional codes to identify specific manifestations, such as diabetic glaucoma (H40-H42).

In simple words: This code is used when someone with Type 1 diabetes has eye problems related to their diabetes, but those problems aren't covered by a more specific code.Type 1 diabetes can cause eye damage because the body doesn't make enough insulin to control blood sugar.

Type 1 diabetes mellitus with other diabetic ophthalmic complications refers to eye disease resulting from type 1 diabetes.It encompasses a range of eye conditions that aren't specifically represented by other codes within the E10.3 category. Type 1 diabetes is a chronic autoimmune disease where the pancreas doesn't produce enough insulin, leading to high blood glucose levels that can damage the eyes.

Example 1: A patient with Type 1 diabetes presents with blurred vision and floaters but does not have retinopathy, cataracts or macular edema. After examination, the ophthalmologist diagnoses vitreous hemorrhage as the cause of the symptoms., A patient with Type 1 diabetes has recurrent corneal erosions and persistent dry eye, which are documented as being related to their diabetic condition. These conditions are not captured by other more specific codes., A patient with long-standing Type 1 diabetes presents with diplopia and ptosis. Examination reveals cranial nerve palsy affecting extraocular muscles, deemed to be a result of microvascular complications from the diabetes.

Documentation should clearly specify the type of diabetes (Type 1) and the specific ophthalmic complications observed. Any associated symptoms, diagnostic test results, and treatment plans should also be documented.

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