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BETA v.3.0

2025 ICD-10-CM code E13.36

A specific type of diabetes mellitus not otherwise defined, accompanied by the development of a diabetic cataract.

Do not use this code if the diabetes can be classified as type 1 (E10.-), type 2 (E11.-), or due to an underlying condition (E08.-). Use additional codes to specify diabetes control methods, such as insulin (Z79.4) or oral antidiabetic drugs (Z79.84).

Medical necessity for services related to E13.36 requires documentation supporting the diagnosis of the specified diabetes mellitus and the presence of a diabetic cataract. The medical record should reflect the clinical evaluation, treatment plan, and the link between the diabetic condition and the cataract.Any procedures or treatments should be justified based on established medical guidelines.

Clinicians should document the specific type of diabetes mellitus, the presence of diabetic cataract, and any associated manifestations. Additional codes may be needed to fully describe the patient's condition, such as the laterality of the cataract and any other diabetes-related complications.

In simple words: This code refers to a less common type of diabetes that comes with cataracts. It's not Type 1 or Type 2 diabetes, but another form. The cataract is a clouding of the eye's lens caused by the diabetes.

Other specified diabetes mellitus with diabetic cataract. This code designates a form of diabetes not classified as type 1 or type 2, along with the presence of a cataract specifically related to the diabetic condition.

Example 1: A patient with post-pancreatectomy diabetes develops a cataract in their left eye due to the diabetic condition., A patient with diabetes due to a genetic defect in insulin action presents with bilateral cataracts attributed to the diabetes., A patient with a confirmed diagnosis of secondary diabetes mellitus develops a cataract. The specific cause of the secondary diabetes is documented.

Documentation should confirm the specific type of diabetes mellitus not classified as type 1 or type 2. The presence and laterality of the diabetic cataract must be clearly documented. Any other diabetes-related complications should be noted, along with the patient's overall health status.

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