(Medicare Claims Processing Manual)

Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye  E13.3542  Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye  E13.3543  Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral  E13.3551  Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eye  E13.3552  Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eye  E13.3553  Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateral  E13.3591  Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye  E13.3592  Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye  E13.3593  Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral  E13.36  Other specified diabetes mellitus with diabetic cataract  E13.39  Other specified diabetes mellitus with other diabetic ophthalmic complication  E11.311  Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema OR  E11.319  Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema OR  E11.36  Type 2 diabetes mellitus with diabetic cataract OR  E11.39  Type 2 diabetes mellitus with other diabetic ophthalmic complication AND   Note: E11.39 with E11.65 are a cluster BUT since each code on its own justifies the service, the combination is not required together for this policy  E13.37X1  Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye  E13.37X2  Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye  E13.37X3  Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral  E11.40  Type 2 diabetes mellitus with diabetic neuropathy, unspecified  E11.41  Type 2 diabetes mellitus with diabetic mononeuropathy  E11.42  Type 2 diabetes mellitus with diabetic polyneuropathy  E11.43  Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy  E11.44  Type 2 diabetes mellitus with diabetic amyotrophy  E11.49  Type 2 diabetes mellitus with other diabetic neurological complication  E11.610  Type 2 diabetes mellitus with diabetic neuropathic arthropathy  E13.40  Other specified diabetes mellitus with diabetic neuropathy, unspecified  E13.41  Other specified diabetes mellitus with diabetic mononeuropathy  E13.42  Other specified diabetes mellitus with diabetic polyneuropathy  E13.43  Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy  E13.44  Other specified diabetes mellitus with diabetic amyotrophy  E13.49  Other specified diabetes mellitus with other diabetic neurological complication  E13.610  Other specified diabetes mellitus with diabetic neuropathic arthropathy   Note: E11.40 with E11.65 are a cluster BUT since each code on its own justifies the service, the combination is not required together for this policy . E11.51  Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene  E11.52  Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene  E11.59  Type 2 diabetes mellitus with other circulatory complications  E13.51  Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene  E13.52  Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene  E13.59  Other specified diabetes mellitus with other circulatory complications   Note: E11.51 with E11.65 are a cluster BUT since each code on its own justifies the service, the combination is not required together for this policy.  E11.618  Type 2 diabetes mellitus with other diabetic arthropathy  E11.620  Type 2 diabetes mellitus with diabetic dermatitis  E11.621  Type 2 diabetes mellitus with foot ulcer  E11.622  Type 2 diabetes mellitus with other skin ulcer  E11.628  Type 2 diabetes mellitus with other skin complications  E11.630  Type 2 diabetes mellitus with periodontal disease  E11.638  Type 2 diabetes mellitus with other oral complications  E11.649  Type 2 diabetes mellitus with hypoglycemia without coma  E13.618  Other specified diabetes mellitus with other diabetic arthropathy  E13.620  Other specified diabetes mellitus with diabetic dermatitis  E13.621  Other specified diabetes mellitus with foot ulcer  E13.622  Other specified diabetes mellitus with other skin ulcer  E13.628  Other specified diabetes mellitus with other skin complications  E13.630  Other specified diabetes mellitus with periodontal disease  E13.638  Other specified diabetes mellitus with other oral complications  E13.649  Other specified diabetes mellitus with hypoglycemia without coma  E13.65  Other specified diabetes mellitus with hyperglycemia  E13.69  Other specified diabetes mellitus with other specified complication   Note: E11.69 with E11.65 are a cluster BUT since each code on its own justifies the service, the combination is not required together for this policy.  E13.8  Other specified diabetes mellitus with unspecified complications  E11.8  Type 2 diabetes mellitus with unspecified complications