ICD-10 Code E09.353 – Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code E09.353 – Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula
What it is
This code describes diabetes caused by a drug or chemical, complicated by proliferative diabetic retinopathy and a traction retinal detachment that does not involve the macula. Use it when the record links the eye disease to the drug-induced diabetes.
Clinical signs
Clinical features include proliferative retinal changes, such as abnormal new blood vessel growth, with traction pulling the retina away from the eye wall. Vision changes may be present, but clinical features vary; refer to documentation.
When to use this code
Use this code when the provider documents drug- or chemical-induced diabetes and specifies proliferative diabetic retinopathy with traction retinal detachment not involving the macula. The retinal detachment must be documented as non-macular. Check documentation if laterality or eye involvement is unclear.
Do not use for
Do not use this code for diabetic retinopathy without proliferative disease, for macular involvement, or when the diabetes is not drug or chemical induced. Do not guess the retinal status if the note is incomplete.
Coding tip
Confirm both the diabetes cause and the exact retinal complication before assigning E09.353.