E13.39

Billable

Other specified 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

A type of diabetes (not type 1 or type 2) causing various eye problems other than cataracts, such as retinopathy or macular edema.

Coding Tips

•Use this code only when the specific eye complication is not cataracts or other specified conditions
•Document the nature of the ophthalmic complication in the medical record for clarity

Clinical Significance

E13.39 captures other specified ophthalmic complications of other specified diabetes mellitus, including conditions such as diabetic glaucoma, vitreous hemorrhage from diabetes, or other diabetes-related eye disorders that are not retinopathy or cataracts. These conditions reflect the diverse ocular manifestations of chronic hyperglycemia.

Documentation Requirements

✓The provider must document the secondary diabetes, specify the ophthalmic complication, and establish a causal link to diabetes.
✓Ophthalmology records should detail the specific eye finding and its relationship to the metabolic disorder.

Use Additional Code

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

Commonly Confused Codes

E13.36 (diabetic cataract) when the complication is specifically a cataract E13.311/E13.319 (diabetic retinopathy) when retinopathy is the finding E11.39 (type 2 diabetes with other ophthalmic complication) when diabetes is type 2.

Code Hierarchy

└E13Other specified diabetes mellitus └E13.3Other specified diabetes mellitus with ophthalmic complications └E13.39Other specified diabetes mellitus with other diabetic ophthalmic complication

└E13.39Other specified diabetes mellitus with other diabetic ophthalmic complication