E10.39

Billable

Type 1 diabetes mellitus with other diabetic ophthalmic complication

HCC Category Mapping

V28HCC 37 — Diabetes with Chronic Complications

0.245

V24HCC 18 — Diabetes with Chronic Complications

0.302

ESRDHCC 18 — Diabetes with Chronic Complications

0.000

RxHCCHCC 30 — Diabetes with Complications

0.000

What This Code Means

Type 1 diabetes with eye complications other than retinopathy or cataracts, such as glaucoma or corneal changes from diabetes.

Coding Tips

•Use only when the ophthalmic complication is not retinopathy, macular edema, or cataract
•Ensure documentation specifies the particular eye condition related to diabetes

Clinical Significance

Type 1 diabetes mellitus with other diabetic ophthalmic complication captures eye conditions from Type 1 diabetes that are not classified as retinopathy, macular edema, or cataracts. This includes neovascular glaucoma, diabetic papillopathy, diabetic corneal neuropathy with recurrent erosions, or extraocular muscle palsies from diabetic cranial neuropathy. These conditions may cause significant visual impairment and require specialized ophthalmologic management.

Documentation Requirements

✓The specific ophthalmic complication must be identified and described, demonstrating why standard retinopathy and cataract codes do not apply.
✓Type 1 diabetes must be confirmed.
✓Ophthalmologic examination findings, diagnostic testing results, and treatment plans should be documented.
✓The causal relationship between diabetes and the eye condition must be established.

Use Additional Code

code to identify manifestation, such as:
diabetic glaucoma (H40-H42)

Commonly Confused Codes

E10.311-E10.359 (retinopathy codes) are more specific for retinal disease.E10.36 (cataract) is specific for lens opacity.H40 (glaucoma) may be coded additionally.E10.41 (mononeuropathy) might be more appropriate when cranial nerve palsies affect eye movement.E10.49 (other neurological complication) may overlap for neuro-ophthalmic conditions.

Code Hierarchy

└E10Type 1 diabetes mellitus └E10.3Type 1 diabetes mellitus with ophthalmic complications └E10.39Type 1 diabetes mellitus with other diabetic ophthalmic complication

└E10.39Type 1 diabetes mellitus with other diabetic ophthalmic complication