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E08 vs E13.352

E08 (Diabetes mellitus due to underlying condition) compared with E13.352 (Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula), 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 E13.352: “postpancreatectomy diabetes mellitus (E13.-)”

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. E08 carries an Excludes1 note covering E13.352: “postprocedural diabetes mellitus (E13.-)”

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. E08 carries an Excludes1 note covering E13.352: “secondary diabetes mellitus NEC (E13.-)”

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. E13.352 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 conditionE13.352Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula
Billing statusNon-billable header

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

Non-billable header

Report instead: E13.3521, E13.3522, E13.3523, E13.3529

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).Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula is a non-billable ICD-10-CM category code (E13.352).
7th characterOne of the following 7th characters is to be assigned to codes in subcategory E13.35 to designate laterality of the disease:
Includes
diabetes mellitus due to genetic defects of beta-cell function
diabetes mellitus due to genetic defects in insulin action
postpancreatectomy diabetes mellitus
postprocedural diabetes mellitus
Use additional code
code to identify control using:
injectable non-insulin antidiabetic drugs (Z79.85)
insulin (Z79.4)
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