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FY2027 ICD-10-CM reference

E13.353: Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula. 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.

CMS-HCC V28

Not applicable to this nonbillable heading

CMS-HCC V24

Not applicable to this nonbillable heading

ESRD

Not applicable to this nonbillable heading

PACE

Not applicable to this nonbillable heading

RxHCC

Not applicable to this nonbillable heading

HHS-HCC

Not applicable to this nonbillable heading

More specific FY2027 codes

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

diabetes mellitus due to genetic defects of beta-cell function

Source: E13 (category, inherited).

Includes

diabetes mellitus due to genetic defects in insulin action

Source: E13 (category, inherited).

Includes

postpancreatectomy diabetes mellitus

Source: E13 (category, inherited).

Includes

postprocedural diabetes mellitus

Source: E13 (category, inherited).

Includes

secondary diabetes mellitus NEC

Source: E13 (category, inherited).

Instructional note

code to identify control using:

Source: E13 (category, inherited).

Instructional note

injectable non-insulin antidiabetic drugs (Z79.85)

Source: E13 (category, inherited).

Instructional note

insulin (Z79.4)

Source: E13 (category, inherited).

Instructional note

oral antidiabetic drugs (Z79.84)

Source: E13 (category, inherited).

Instructional note

oral hypoglycemic drugs (Z79.84)

Source: E13 (category, inherited).

Excludes1

diabetes (mellitus) due to autoimmune process (E10.-)

Source: E13 (category, inherited).

Excludes1

diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction (E10.-)

Source: E13 (category, inherited).

Excludes1

diabetes mellitus due to underlying condition (E08.-)

Source: E13 (category, inherited).

Excludes1

drug or chemical induced diabetes mellitus (E09.-)

Source: E13 (category, inherited).

Excludes1

gestational diabetes (O24.4-)

Source: E13 (category, inherited).

Excludes1

neonatal diabetes mellitus (P70.2)

Source: E13 (category, inherited).

Excludes1

type 1 diabetes mellitus (E10.-)

Source: E13 (category, inherited).

Seventh-character instruction

One of the following 7th characters is to be assigned to codes in subcategory E13.35 to designate laterality of the disease:

Source: E13.35 (self, inherited).

Instructional note

right eye

Source: E13.35 (self, inherited).

Instructional note

left eye

Source: E13.35 (self, inherited).

Instructional note

bilateral

Source: E13.35 (self, inherited).

Instructional note

unspecified eye

Source: E13.35 (self, inherited).

Seventh-character definitions

  • 1: right eye
  • 2: left eye
  • 3: bilateral
  • 9: unspecified eye

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does E13.353 mean in FY2027?

The official ICD-10-CM descriptor is Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is E13.353 billable in FY2027?

The FY2027 order file marks E13.353 as a nonbillable heading. Select a complete billable child code.

Does E13.353 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. Read the FY2027 Official Guidelines.

Review the FY2026 April edition