FY2027 ICD-10-CM reference
E10.35: Type 1 diabetes mellitus with proliferative diabetic retinopathy
By the HCC Buddy Coding Team
The official ICD-10-CM descriptor is Type 1 diabetes mellitus with proliferative diabetic retinopathy. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Nonbillable heading. Verified against the official FY2027 order file.
More specific FY2027 codes
- E10.351: Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edemaNonbillable heading
- E10.352: Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the maculaNonbillable heading
- E10.353: Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the maculaNonbillable heading
- E10.354: Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachmentNonbillable heading
- E10.355: Type 1 diabetes mellitus with stable proliferative diabetic retinopathyNonbillable heading
- E10.359: Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edemaNonbillable heading
FY2027 Tabular instructions
Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.
Instructional note
All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.
Source: E00-E89 (chapter, inherited).
Excludes1
transitory endocrine and metabolic disorders specific to newborn (P70-P74)
Source: E00-E89 (chapter, inherited).
Includes
brittle diabetes (mellitus)
Source: E10 (category, inherited).
Includes
diabetes (mellitus) due to autoimmune process
Source: E10 (category, inherited).
Includes
diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction
Source: E10 (category, inherited).
Includes
idiopathic diabetes (mellitus)
Source: E10 (category, inherited).
Includes
juvenile onset diabetes (mellitus)
Source: E10 (category, inherited).
Includes
ketosis-prone diabetes (mellitus)
Source: E10 (category, inherited).
Excludes1
diabetes mellitus due to underlying condition (E08.-)
Source: E10 (category, inherited).
Excludes1
drug or chemical induced diabetes mellitus (E09.-)
Source: E10 (category, inherited).
Excludes1
gestational diabetes (O24.4-)
Source: E10 (category, inherited).
Excludes1
hyperglycemia NOS (R73.9)
Source: E10 (category, inherited).
Excludes1
neonatal diabetes mellitus (P70.2)
Source: E10 (category, inherited).
Excludes1
postpancreatectomy diabetes mellitus (E13.-)
Source: E10 (category, inherited).
Excludes1
postprocedural diabetes mellitus (E13.-)
Source: E10 (category, inherited).
Excludes1
secondary diabetes mellitus NEC (E13.-)
Source: E10 (category, inherited).
Excludes1
type 2 diabetes mellitus (E11.-)
Source: E10 (category, inherited).
Seventh-character instruction
One of the following 7th characters is to be assigned to codes in subcategory E10.35 to designate laterality of the disease:
Source: E10.35 (self, direct).
Instructional note
right eye
Source: E10.35 (self, direct).
Instructional note
left eye
Source: E10.35 (self, direct).
Instructional note
bilateral
Source: E10.35 (self, direct).
Instructional note
unspecified eye
Source: E10.35 (self, direct).
Seventh-character definitions
- 1: right eye
- 2: left eye
- 3: bilateral
- 9: unspecified eye
Compare the FY2027 additions, removals and billable-status changes
What does E10.35 mean in FY2027?
The official ICD-10-CM descriptor is Type 1 diabetes mellitus with proliferative diabetic retinopathy. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Is E10.35 billable in FY2027?
The FY2027 order file marks E10.35 as a nonbillable heading. Select a complete billable child code.
Does E10.35 map to an HCC?
Risk-model mapping is not applicable to this nonbillable heading. Check a complete billable child code.
Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.
Review the FY2026 April edition