Is E11.32 a billable ICD-10-CM code?

No. E11.32 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does E11.32 sit in the tabular list?

Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).

E11.32

E11.32 — Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy

Non-billable headerICD-10-CM

E11.32 is a non-billable header ICD-10-CM code for type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

One of the following 7th characters is to be assigned to codes in subcategory E11.32 to designate laterality of the disease:

1: right eye
2: left eye
3: bilateral
9: unspecified eye

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Type 2 diabetes mellitus with nonproliferative diabetic retinopathy NOS

Risk adjustment

E11.32 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

There’s a guided path to this code

Not sure E11.32 is the right one? Answer a few questions about what the chart documents and we’ll walk you to the code that follows from it.

Type 2 diabetes: chart note to code

Code to one of these instead E11.32

2 child codes. Green means billable.

Related codes at this level

Codes that share E11.3. If E11.32 is not quite right, the correct code is usually one of these.

Questions about E11.32

Is E11.32 a billable ICD-10-CM code?: No. E11.32 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does E11.32 sit in the tabular list?: Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).