2025 ICD-10-CM code E13.39
Other specified diabetes mellitus with other diabetic ophthalmic complication. This condition involves insufficient insulin production or utilization, leading to high blood sugar and eye complications.
Medical necessity for this code is established by the presence of diabetes and an associated ophthalmic complication. The specific documentation requirements mentioned above are crucial to demonstrate the medical necessity of any associated procedures or treatments.
Physicians diagnose this condition based on patient history, physical and ophthalmic examination, and laboratory tests (blood glucose, HbA1c, lipid profile). Treatment focuses on managing blood sugar levels with insulin or non-insulin therapies, alongside specific interventions for eye complications, which might include laser treatment, medication, or surgery.
In simple words: This code describes a type of diabetes that affects the eyes. It's used when the specific eye problem isn't covered by another code.It could involve blurry vision, pain, double vision, or more serious problems like retinal detachment or glaucoma.
Other specified diabetes mellitus with other diabetic ophthalmic complication refers to a condition where the body's insulin production or utilization is inadequate, resulting in elevated blood sugar levels and various eye complications.This code is used when the specific type of diabetes with ophthalmic complication is not represented by another, more specific ICD-10 code.It encompasses a range of eye-related problems associated with diabetes, including blurred vision, pain, diplopia, retinal detachment, glaucoma, and potentially blindness.Additional codes may be necessary to fully specify the nature of the ophthalmic complication.
Example 1: A patient with type 1 diabetes presents with blurred vision and is diagnosed with diabetic retinopathy. As the retinopathy type is not otherwise specified, E13.39 is used., A patient with long-standing type 2 diabetes develops glaucoma.E13.39 is used along with a code specifying glaucoma (H40-H42)., A patient with postpancreatectomy diabetes experiences double vision and is found to have a cranial nerve palsy.E13.39 would be used, along with a code for the nerve palsy.
Documentation should specify the type of diabetes, the detailed findings of the ophthalmic examination, including visual acuity, and the specific ophthalmic complication(s). Results of laboratory tests and any treatment provided should also be documented.
** This code should not be used for transitory endocrine and metabolic disorders specific to the newborn (P70-P74).
- Specialties:Endocrinology, Ophthalmology
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital