E10.341 ICD-10-CM Code: Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for E10.341 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- brittle diabetes (mellitus)
- diabetes (mellitus) due to autoimmune process
- diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction
- idiopathic diabetes (mellitus)
- juvenile onset diabetes (mellitus)
- ketosis-prone diabetes (mellitus)
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- diabetes mellitus due to underlying condition (E08.-) Compare E10.341 vs E08 →
- drug or chemical induced diabetes mellitus (E09.-) Compare E10.341 vs E09 →
- gestational diabetes (O24.4-) Compare E10.341 vs O24.4 →
- hyperglycemia NOS (R73.9) Compare E10.341 vs R73.9 →
- neonatal diabetes mellitus (P70.2) Compare E10.341 vs P70.2 →
- postpancreatectomy diabetes mellitus (E13.-) Compare E10.341 vs E13 →
- postprocedural diabetes mellitus (E13.-) Compare E10.341 vs E13 →
- secondary diabetes mellitus NEC (E13.-) Compare E10.341 vs E13 →
- type 2 diabetes mellitus (E11.-) Compare E10.341 vs E11 →
Frequently Compared Codes
The official Excludes notes on E10.341 name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
- FY2017 — 2016-10-01Became a non-billable headerfalseFY2017 changes
Verify Before Coding
- Not billable as written — a more specific code is required: E10.3411, E10.3412, E10.3413, E10.3419.
- Requires a 7th character. "One of the following 7th characters is to be assigned to codes in subcategory E10.34 to designate laterality of the disease:" Options: E10.3411, E10.3412, E10.3413, E10.3419
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of E10.341 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- E00-E89 — Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E89) (E00-E89) [Hierarchy]
- E08-E13 — Diabetes mellitus [Hierarchy]
Referenced by Excludes1 notes
- E08 — Diabetes mellitus due to underlying condition [Excludes1](via E10.-): “type 1 diabetes mellitus (E10.-)” · check together
- E09 — Drug or chemical induced diabetes mellitus [Excludes1](via E10.-): “type 1 diabetes mellitus (E10.-)” · check together
- E11 — Type 2 diabetes mellitus [Excludes1](via E10.-): “type 1 diabetes mellitus (E10.-)” · check together
- E13 — Other specified diabetes mellitus [Excludes1](via E10.-): “diabetes (mellitus) due to autoimmune process (E10.-)” · check together
- H36 — Retinal disorders in diseases classified elsewhere [Excludes1](via E10.3.-): “diabetic retinopathy (E08.3-, E09.3-, E10.3-, E11.3-, E13.3-)” · check together
- Q45.3 — Other congenital malformations of pancreas and pancreatic duct [Excludes1](via E10.-): “congenital diabetes mellitus (E10.-)” · check together
Clinical classification (CCSR)
- END003 — Diabetes mellitus with complication [CCSR]
- END004 — Diabetes mellitus, Type 1 [CCSR]
- EYE005 — Retinal and vitreous conditions [CCSR]
Index entries
- Diabetes, diabetic (mellitus) (sugar), type 1, with, retinopathy, nonproliferative, severe, with macular edema[Index term]
Nearest codes (40)
- E10 — Type 1 diabetes mellitus [Sibling]
- E10.3212 — Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye [Sibling]
- E10.3213 — Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral [Sibling]
- E10.3219 — Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye [Sibling]
- E10.329 — Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema [Sibling]
- E10.3291 — Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye [Sibling]
- E10.3292 — Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye [Sibling]
- E10.3293 — Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral [Sibling]
- and 32 more
Change history
- FY2017 — Became a non-billable header [Change history]
Referenced by Other Codes
Clinical classification (AHRQ CCSR):END003 — Diabetes mellitus with complication (default); END004 — Diabetes mellitus, Type 1; EYE005 — Retinal and vitreous conditions.
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Official ICD-10-CM tabular notes on other codes that name E10.341 or its code family.
6 Excludes1 notes across 3 chapters: E08 (via E10.-), E09 (via E10.-), E11 (via E10.-), E13 (via E10.-), H36 (via E10.3.-), Q45.3 (via E10.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Can E10.341 be billed directly?
No. E10.341 (Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does E10.341 require a 7th character?
Yes. One of the following 7th characters is to be assigned to codes in subcategory E10.34 to designate laterality of the disease:.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to E10.341 in its code family, with their registry titles.
- E10.3391 — Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
- E10.3392 — Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
- E10.3393 — Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
- E10.3399 — Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
- E10.34 — Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy
- E10.3411 — Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
- E10.3412 — Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
- E10.3413 — Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
- E10.3419 — Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
- E10.349 — Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema
Indexed Clinical Terms (1)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Diabetes, diabetic (mellitus) (sugar), type 1, with, retinopathy, nonproliferative, severe, with macular edema