E08.3411 vs E08.3412

E08.3411 (Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, right eye) compared with E08.3412 (Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, left eye), from the official CMS tabular data. E08.3411 and E08.3412 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

E08.3411

Right

Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, right eye

↔

E08.3412

Left

Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, left eye

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. E08.3411 and E08.3412 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

	E08.3411Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, right eye	E08.3412Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, left eye
Billing status	Billable	Billable
Classification	E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)	E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)
Definition	Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, right eye is a billable ICD-10-CM diagnosis code (E08.3411).	Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, left eye is a billable ICD-10-CM diagnosis code (E08.3412).
7th character	One of the following 7th characters is to be assigned to codes in subcategory E08.34 to designate laterality of the disease:	One of the following 7th characters is to be assigned to codes in subcategory E08.34 to designate laterality of the disease:
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)	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