E08.355 ICD-10-CM Code: Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy
E08.355 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software
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FY 2026 Apr update / Endocrine, nutritional and metabolic diseases (E00-E89) / Diabetes mellitus (E08-E13)
E08.355
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceDiabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialNo inclusion terms are included in this display for E08.355. Check the code and parent instructions in the Code Book.
Excludes 2
OfficialNo Excludes 2 notes are included in this display for E08.355. Check the code and parent instructions in the Code Book.
Related Codes
Includes
OfficialNo Includes notes are included in this display for E08.355. Check the code and parent instructions in the Code Book.
Excludes 1
Official- transitory endocrine and metabolic disorders specific to newborn (P70-P74)Inherited from E00-E89, E08
- drug or chemical induced diabetes mellitus (E09.-)Inherited from E00-E89, E08
- gestational diabetes (O24.4-)Inherited from E00-E89, E08
- neonatal diabetes mellitus (P70.2)Inherited from E00-E89, E08
- postpancreatectomy diabetes mellitus (E13.-)Inherited from E00-E89, E08
- postprocedural diabetes mellitus (E13.-)Inherited from E00-E89, E08
- secondary diabetes mellitus NEC (E13.-)Inherited from E00-E89, E08
- type 1 diabetes mellitus (E10.-)Inherited from E00-E89, E08
- type 2 diabetes mellitus (E11.-)Inherited from E00-E89, E08
Code First
Official- the underlying condition, such as:Inherited from E08
- congenital rubella (P35.0)Inherited from E08
- Cushing's syndrome (E24.-)Inherited from E08
- cystic fibrosis (E84.-)Inherited from E08
- malignant neoplasm (C00-C96)Inherited from E08
- malnutrition (E40-E46)Inherited from E08
- pancreatitis and other diseases of the pancreas (K85-K86.-)Inherited from E08
Use Additional
Official- code to identify control using:Inherited from E08
- injectable non-insulin antidiabetic drugs (Z79.85)Inherited from E08
- insulin (Z79.4)Inherited from E08
- oral antidiabetic drugs (Z79.84)Inherited from E08
- oral hypoglycemic drugs (Z79.84)Inherited from E08
Code Also
OfficialNo Code Also instructions are included in this display for E08.355. Check the code and parent instructions in the Code Book.
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
- Code
- E08.355
- Description
- Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- No
- Payment year
- 2026
Coder workflow notes
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What This Code Means
E08.355 is the ICD-10-CM diagnosis code for diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy. E08.355 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering diabetes mellitus (e08-e13).
Header codes like E08.355 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for E08.355 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.