E08.359

Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema

Not billable — category only FY2026 2025-10-01 → 2026-09-30

Exclusions 9 never code together

E08code

Excludes1

drug or chemical induced diabetes mellitus (E09.-)E09.-
gestational diabetes (O24.4-)O24.4-
neonatal diabetes mellitus (P70.2)P70.2
postpancreatectomy diabetes mellitus (E13.-)E13.-
postprocedural diabetes mellitus (E13.-)E13.-
secondary diabetes mellitus NEC (E13.-)E13.-
type 1 diabetes mellitus (E10.-)E10.-
type 2 diabetes mellitus (E11.-)E11.-

E00-E89chapter

Excludes1

transitory endocrine and metabolic disorders specific to newborn (P70-P74)P70-P74

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

7th character 4

1 right eye

2 left eye

3 bilateral

9 unspecified eye this code

Instructional notes 13

E08code

Code first

the underlying condition, such as:
congenital rubella (P35.0)P35.0
Cushing's syndrome (E24.-)E24.-
cystic fibrosis (E84.-)E84.-
malignant neoplasm (C00-C96)C00-C96
malnutrition (E40-E46)E40-E46
pancreatitis and other diseases of the pancreas (K85-K86.-)K85-K86

Use additional code

code to identify control using:
injectable non-insulin antidiabetic drugs (Z79.85)Z79.85
insulin (Z79.4)Z79.4
oral antidiabetic drugs (Z79.84)Z79.84
oral hypoglycemic drugs (Z79.84)Z79.84

E00-E89chapter

Notes

All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.E05.8 E07.0 E16-E31 E34.-

Index entries leading here 2

Aneurysm (anastomotic) (artery) (cirsoid) (diffuse) (false) (fusiform) (multiple) (saccular) I72.9
- retina — see also Disorder, retina, microaneurysms
  - diabetic — see E08-E13 with .3-
Diabetes, diabetic (mellitus) (sugar) E11.9
- due to underlying condition E08.9
  - with
    - retinopathy E08.319
      - proliferative E08.359

Alongside this code 5 same parent — E08.35

E08.351 Diab due to undrl cond w prolif diab rtnop w macular edema category E08.352 Diabetes with prolif diabetic rtnop with trctn dtch macula category E08.353 Diabetes with prolif diabetic rtnop with trctn dtch n-mcla category E08.354 Diabetes with prolif diabetic rtnop with combined detachment category E08.355 Diabetes with stable proliferative diabetic retinopathy category

Subordinate codes 4

E08.3591 Diab with prolif diabetic rtnop without macular edema, r eye E08.3592 Diab with prolif diab rtnop without macular edema, left eye E08.3593 Diab with prolif diabetic rtnop without macular edema, bi E08.3599 Diab with prolif diabetic rtnop without macular edema, unsp

Medications 5

232 Diabetes Mellitus drugs 20 Diabetic Retinopathy drugs 13 Macular Edema drugs 81 Diabetes Mellitus, Type 2 drugs 49 Diabetes Mellitus, Type 1 drugs

MED-RT files conditions by MeSH, which carves the world differently from ICD-10. These are name matches on this code's description, offered as candidates — not as an assertion that they are this code.

Additional references

AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

Maps to no condition category in any loaded model.

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable: no
Code set: FY2026
Parent: E08.35
Block: E08-E13
Siblings: 5
Subordinate: 4

Present FY2024–FY2027.