E13.36 — Other specified diabetes mellitus with diabetic cataract
E13.36 is a billable, specific ICD-10-CM code for other specified diabetes mellitus with diabetic cataract. It is valid for submission on a claim.
Other codes that can never be billed with E13.36
These codes carry an Excludes1 note pointing at E13.36. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E13.36 alone.
- H28Cataract in diseases classified elsewhere
Risk adjustment
E13.36 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 37 Diabetes with Chronic Complications0.166 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
E13.36 is named in 44 Medicare coverage policies — 44 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52464Glucose Monitor - Policy Article
- A52501Therapeutic Shoes for Persons with Diabetes - Policy Article
- A52507External Infusion Pumps - Policy Article
- A52996Billing and Coding: Routine Foot Care
How E13.36 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to E13.36.
- Diabetes, diabetic›specified type NEC›with›cataract
Related codes at this level
Codes that share E13.3. If E13.36 is not quite right, the correct code is usually one of these.
- E13.31Other specified diabetes mellitus with unspecified diabetic retinopathy
- 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
- E13.37Other specified diabetes mellitus with diabetic macular edema, resolved following treatment
- E13.39Other specified diabetes mellitus with other diabetic ophthalmic complication
Questions about E13.36
- Is E13.36 a billable ICD-10-CM code?
- Yes. E13.36 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does E13.36 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).