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Compare/E08 vs E10.3552

E08 vs E10.3552

E08 (Diabetes mellitus due to underlying condition) compared with E10.3552 (Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, left eye), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. E08 carries an Excludes1 note covering E10.3552: “type 1 diabetes mellitus (E10.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. E10.3552 carries an Excludes1 note covering E08: “diabetes mellitus due to underlying condition (E08.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

E08Diabetes mellitus due to underlying conditionE10.3552Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, left eye
Billing statusNon-billable header

Report instead: E08.00, E08.01, E08.10, E08.11, E08.21

Billable
ClassificationE00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)
DefinitionDiabetes mellitus due to underlying condition is a non-billable ICD-10-CM category code (E08).Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, left eye is a billable ICD-10-CM diagnosis code (E10.3552).
7th characterOne of the following 7th characters is to be assigned to codes in subcategory E10.35 to designate laterality of the disease:
Includes
brittle diabetes (mellitus)
diabetes (mellitus) due to autoimmune process
diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction
idiopathic diabetes (mellitus)
Use additional code
code to identify control using:
injectable non-insulin antidiabetic drugs (Z79.85)
insulin (Z79.4)
Code first
the underlying condition, such as:
congenital rubella (P35.0)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources