ICD-10-CM Billable Code

E11.36

Type 2 diabetes mellitus with diabetic cataract

Clinical Classification Guidelines

Medical Intelligence & Overview

Type 2 diabetes mellitus is a chronic condition that affects the way your body processes blood sugar (glucose). When elevated blood sugar levels are not properly managed over time, they can lead to various health complications, including eye problems such as cataracts. Specifically, diabetic cataracts develop in some individuals with type 2 diabetes, impairing vision and affecting quality of life. This condition is categorized under ICD-10 code E11.36, indicating the presence of type 2 diabetes combined with a diabetic cataract.

Causes & Symptoms

Clinical Causes: Extended periods of high blood sugar levels (hyperglycemia) Metabolic changes caused by diabetes that alter lens proteins in the eye Age-related factors, as the risk increases with age combined with diabetes Poor blood sugar management over time Genetic predisposition may also play a role

Key Symptoms: Gradual clouding or opacity in the eye’s lens Blurry or dim vision Increased sensitivity to glare, especially at night Difficulty seeing in low light conditions Frequent changes in prescription glasses or contact lenses Possible double vision in affected eye

Diagnostic & Treatment

Diagnosis Path: Diagnosis of diabetic cataracts involves a comprehensive eye examination by an ophthalmologist. This assessment typically includes a visual acuity test, slit-lamp examination, and retinoscopy to evaluate the clarity of the lens and identify opacities. Additionally, a medical history review to confirm the presence of diabetes and related complications is essential. Regular eye examinations are recommended for people with diabetes to detect cataracts early.

Treatment Protocols: Monitoring and managing blood sugar levels to prevent progression Corrective eyewear, such as glasses or contact lenses, to improve vision Surgical removal of the cloudy lens, followed by replacement with an artificial intraocular lens if the cataract significantly impairs vision

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 E11.36 a billable ICD-10 code?
Yes, E11.36 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report E11.36?
Clinical documentation must specify the nature of Type 2 diabetes mellitus with diabetic cataract and any associated comorbidities for accurate reporting.

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