ICD-10-CM Billable Code

E13.354

Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 code E13.354 refers to a specific and complex form of diabetes mellitus, characterized by abnormal eye conditions affecting vision. This condition involves proliferative diabetic retinopathy, a severe complication of diabetes that impacts the retina, leading to potential vision loss through combined tractional and rhegmatogenous retinal detachments. Recognizing the nature of this condition can enhance awareness of its seriousness and the importance of proper management.

Causes & Symptoms

Clinical Causes: Prolonged high blood sugar levels associated with diabetes Poor control of blood glucose over time Development of abnormal blood vessels in the retina due to diabetic retinopathy Progression from early to advanced diabetic eye disease Additional risk factors include hypertension, high cholesterol, smoking, and genetic predisposition

Key Symptoms: Sudden or gradual loss of vision Seeing floating spots or lines in the visual field Blurred or distorted vision Dark or blank areas in the visual field Seeing flashes of light

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a comprehensive eye examination by an eye care professional, including:

Treatment Protocols: Treatment aims to prevent further vision loss and manage retinal detachments, typically including:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is E13.354 a billable ICD-10 code?
Yes, E13.354 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report E13.354?
Clinical documentation must specify the nature of Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment and any associated comorbidities for accurate reporting.

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Clinical Meta Tags

rhegmatogenous traction proliferative diabetic retinal retinopathy mellitus detachment combined diabetes