E08.311 vs H35.3192

E08.311 (Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema) compared with H35.3192 (Nonexudative age-related macular degeneration, unspecified eye, intermediate dry stage), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Relationship

Informational

Excludes2 relationship

H35.3192

Nonexudative age-related macular degeneration, unspecified eye, intermediate dry stage

↔

E08.311

Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema

Distinct conditions — both may be reported.

“diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359)”

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source: CMS ICD-10-CM tabular instructional notes

Can these codes be reported together?

Yes, when both are documented. H35.3192 carries an Excludes2 note covering E08.311: “diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

	E08.311Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema	H35.3192Nonexudative age-related macular degeneration, unspecified eye, intermediate dry stage
Billing status	Billable	Billable
Classification	E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)	H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
Definition	Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema is a billable ICD-10-CM diagnosis code (E08.311).	Nonexudative age-related macular degeneration, unspecified eye, intermediate dry stage is a billable ICD-10-CM diagnosis code (H35.3192).
7th character	—	One of the following 7th characters is to be assigned to codes in subcategory H35.31 to designate the stage of the disease:
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)	—

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