E11.3552 (Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye) compared with E11.3559 (Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye), from the official CMS tabular data. E11.3552 and E11.3559 code the same condition on opposite sides.
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)
Same condition, opposite side. E11.3552 and E11.3559 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.
| E11.3552Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye | E11.3559Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified 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 | Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye is a billable ICD-10-CM diagnosis code (E11.3552). | Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye is a billable ICD-10-CM diagnosis code (E11.3559). |
| 7th character | One of the following 7th characters is to be assigned to codes in subcategory E11.35 to designate laterality of the disease: | One of the following 7th characters is to be assigned to codes in subcategory E11.35 to designate laterality of the disease: |
| Includes | diabetes (mellitus) due to insulin secretory defect diabetes NOS insulin resistant diabetes (mellitus) | diabetes (mellitus) due to insulin secretory defect diabetes NOS insulin resistant 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) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources