E13.3 is the authoritative medical code for Other specified diabetes mellitus with ophthalmic complications. This classification is used in medical billing and clinical recording to specify the clinical criteria for other specified diabetes mellitus with ophthalmic complications (ICD-10-CM E13.3), 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
Other specified diabetes mellitus with ophthalmic complications is a non-billable ICD-10-CM category code E13.3. A more specific billable subcode must be selected for claims submission. Includes: diabetes mellitus due to genetic defects of beta-cell function; diabetes mellitus due to genetic defects in insulin action; postpancreatectomy diabetes mellitus; postprocedural diabetes mellitus; secondary diabetes mellitus NEC. Excludes1 (not coded here): diabetes mellitus due to autoimmune process E10.-; diabetes mellitus due to immune mediated pancreatic islet beta-cell destruction E10.-; diabetes mellitus due to underlying condition E08.-; drug or chemical induced diabetes mellitus E09.-; gestational diabetes O24.4-; neonatal diabetes mellitus P70.2; 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 E13.3 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 genetic defects of beta-cell function
- diabetes mellitus due to genetic defects in insulin action
- postpancreatectomy diabetes mellitus
- postprocedural diabetes mellitus
- secondary diabetes mellitus NEC
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- diabetes mellitus due to autoimmune process E10.-
- diabetes mellitus due to immune mediated pancreatic islet beta-cell destruction E10.-
- diabetes mellitus due to underlying condition E08.-
- drug or chemical induced diabetes mellitus E09.-
- gestational diabetes O24.4-
- neonatal diabetes mellitus P70.2
- 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 E13.3 be billed directly?
No. E13.3 (Other specified 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 E13.3?
Per Excludes1 instructions, E13.3 must not be reported with: diabetes (mellitus) due to autoimmune process (E10.-); diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction (E10.-); diabetes mellitus due to underlying condition (E08.-); drug or chemical induced diabetes mellitus (E09.-).
Is an additional code needed with E13.3?
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 E13.3, with their registry titles.
- E13.31 — Other specified diabetes mellitus with unspecified diabetic retinopathy
- E13.311 — Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema
- E13.319 — Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema
- E13.32 — Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy
- E13.321 — Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema
- E13.3211 — Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
- E13.3212 — Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
- E13.3213 — Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
- E13.3219 — Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
- E13.329 — Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema
- E13.3291 — Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
- E13.3292 — Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
- E13.3293 — Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
- E13.3299 — Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
- E13.33 — Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy
- E13.331 — Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema
- E13.3311 — Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
- E13.3312 — Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
- E13.3313 — Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
- E13.3319 — Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
- E13.339 — Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema
- E13.3391 — Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
- E13.3392 — Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
- E13.3393 — Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
- E13.3399 — Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
- E13.34 — Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy
- E13.341 — Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema
- E13.3411 — Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
- E13.3412 — Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
- E13.3413 — Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
- E13.3419 — Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
- E13.349 — Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema
- E13.3491 — Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
- E13.3492 — Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
- E13.3493 — Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
- E13.3499 — Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
- E13.35 — Other specified diabetes mellitus with proliferative diabetic retinopathy
- E13.351 — Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema
- E13.3511 — Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
- E13.3512 — Other specified 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