E11.3 is the authoritative medical code for Type 2 diabetes mellitus with ophthalmic complications. This classification is used in medical billing and clinical recording to specify the clinical criteria for type 2 diabetes mellitus with ophthalmic complications (ICD-10-CM E11.3), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Type 2 diabetes mellitus with ophthalmic complications is a non-billable ICD-10-CM category code E11.3. A more specific billable subcode must be selected for claims submission. Includes: diabetes mellitus due to insulin secretory defect; diabetes NOS; insulin resistant diabetes mellitus. Excludes1 (not coded here): diabetes mellitus due to underlying condition E08.-; drug or chemical induced diabetes mellitus E09.-; gestational diabetes O24.4-; neonatal diabetes mellitus P70.2; postpancreatectomy diabetes mellitus E13.-; postprocedural diabetes mellitus E13.-; secondary diabetes mellitus NEC E13.-; type 1 diabetes mellitus E10.-. Use additional code: code to identify control using:; injectable non-insulin antidiabetic drugs Z79.85; insulin Z79.4; oral antidiabetic drugs Z79.84; oral hypoglycemic drugs Z79.84.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for E11.3 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- diabetes mellitus due to insulin secretory defect
- diabetes NOS
- insulin resistant diabetes mellitus
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- diabetes mellitus due to underlying condition E08.-
- drug or chemical induced diabetes mellitus E09.-
- gestational diabetes O24.4-
- neonatal diabetes mellitus P70.2
- postpancreatectomy diabetes mellitus E13.-
- postprocedural diabetes mellitus E13.-
- secondary diabetes mellitus NEC E13.-
- type 1 diabetes mellitus E10.-
Use Additional Code
Supplementary codes the tabular list directs you to add.
- code to identify control using:
- injectable non-insulin antidiabetic drugs Z79.85
- insulin Z79.4
- oral antidiabetic drugs Z79.84
- oral hypoglycemic drugs Z79.84
Frequently Asked Questions (FAQ) & Clinical Guidance
Can E11.3 be billed directly?
No. E11.3 (Type 2 diabetes mellitus with ophthalmic complications) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
What can't be coded together with E11.3?
Per Excludes1 instructions, E11.3 must not be reported with: diabetes mellitus due to underlying condition (E08.-); drug or chemical induced diabetes mellitus (E09.-); gestational diabetes (O24.4-); neonatal diabetes mellitus (P70.2).
Is an additional code needed with E11.3?
Use additional code(s) to specify: code to identify control using:; injectable non-insulin antidiabetic drugs (Z79.85); insulin (Z79.4); oral antidiabetic drugs (Z79.84).
Codes in This Family (40)
Official ICD-10-CM classifications in the same code family as E11.3, with their registry titles.
- E11.31 — Type 2 diabetes mellitus with unspecified diabetic retinopathy
- E11.311 — Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
- E11.319 — Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
- E11.32 — Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy
- E11.321 — Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema
- E11.3211 — Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
- E11.3212 — Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
- E11.3213 — Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
- E11.3219 — Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
- E11.329 — Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema
- E11.3291 — Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
- E11.3292 — Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
- E11.3293 — Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
- E11.3299 — Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
- E11.33 — Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy
- E11.331 — Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema
- E11.3311 — Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
- E11.3312 — Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
- E11.3313 — Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
- E11.3319 — Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
- E11.339 — Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema
- E11.3391 — Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
- E11.3392 — Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
- E11.3393 — Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
- E11.3399 — Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
- E11.34 — Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy
- E11.341 — Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema
- E11.3411 — Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
- E11.3412 — Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
- E11.3413 — Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
- E11.3419 — Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
- E11.349 — Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema
- E11.3491 — Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
- E11.3492 — Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
- E11.3493 — Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
- E11.3499 — Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
- E11.35 — Type 2 diabetes mellitus with proliferative diabetic retinopathy
- E11.351 — Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema
- E11.3511 — Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
- E11.3512 — Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
Related Codes & Numerical Sequence (Crawl Map)
Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:
ICD Code E08.3
Diabetes mellitus due to underlying condition with ophthalmic complications
ICD Code E09.3
Drug or chemical induced diabetes mellitus with ophthalmic complications
ICD Code E13.3
Other specified diabetes mellitus with ophthalmic complications