2025 ICD-10-CM code E13.3
(Active) Effective Date: N/A Endocrine, Nutritional and Metabolic Diseases - Diabetes Mellitus 4 Feed
Other specified diabetes mellitus with ophthalmic complications.
Medical necessity is established by the presence of other specified diabetes mellitus and the documented ophthalmic complications arising from it.
Clinicians should document the specific type of diabetes, the nature of the ophthalmic complications (e.g., retinopathy, cataract, glaucoma), and any associated conditions.Treatment depends on the type of diabetes and the specific eye problems.
In simple words: This refers to a type of diabetes that isn't specifically categorized elsewhere, and it's affecting the patient's eyes. It could be due to genetic issues, complications from pancreas removal, or other secondary causes.
Other specified diabetes mellitus with ophthalmic complications. This code is used for a type of diabetes not otherwise specified, with associated eye complications.It includes diabetes due to genetic defects of beta-cell function or insulin action, postpancreatectomy diabetes, and secondary diabetes.
Example 1: A patient with post-pancreatectomy diabetes develops diabetic retinopathy., A patient with a genetic defect in insulin action is diagnosed with cataracts related to their diabetes., A patient with diabetes secondary to another condition experiences blurred vision due to diabetic macular edema.
Documentation should specify the type of diabetes, the specific ophthalmic complication(s), and any treatments provided.It's important to differentiate this from Type 1 or Type 2 diabetes.
** This code excludes diabetes due to autoimmune processes, drug-induced diabetes, gestational diabetes, neonatal diabetes, and type 1 diabetes.
- Specialties:Endocrinology, Ophthalmology
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital