E13.31
E13.31 — Other specified diabetes mellitus with unspecified diabetic retinopathy
Non-billable headerICD-10-CM
E13.31 is a non-billable header ICD-10-CM code for other specified diabetes mellitus with unspecified diabetic retinopathy. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
E13.31 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.
Code to one of these instead E13.31
2 child codes. Green means billable.
Related codes at this level
Codes that share E13.3. If E13.31 is not quite right, the correct code is usually one of these.
- E13.32Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy
- E13.33Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy
- E13.34Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy
- E13.35Other specified diabetes mellitus with proliferative diabetic retinopathy
- E13.36Other specified diabetes mellitus with diabetic cataract
- E13.37Other specified diabetes mellitus with diabetic macular edema, resolved following treatment
- E13.39Other specified diabetes mellitus with other diabetic ophthalmic complication
Questions about E13.31
- Is E13.31 a billable ICD-10-CM code?
- No. E13.31 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does E13.31 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).