ICD-10 Code E10.352 – Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code E10.352 – Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula
What it is
This code identifies type 1 diabetes with advanced diabetic eye disease. It means proliferative changes are present and the retina has tractional detachment that involves the macula.
Clinical signs
Findings may include neovascularization, vitreous hemorrhage, and traction on the retina. Visual distortion or decreased central vision can occur when the macula is involved; clinical features vary, refer to documentation.
When to use this code
Use this code when the record clearly documents type 1 diabetes and proliferative diabetic retinopathy with traction retinal detachment involving the macula. The ophthalmology note should support both the diabetic retinopathy severity and macular involvement.
Choose it for encounters focused on this eye complication, even if diabetes is managed elsewhere. If the note only says retinal detachment or diabetic retinopathy without traction or macular involvement, check documentation.
Do not use for
Do not use this code for nonproliferative diabetic retinopathy, traction detachment without macular involvement, or retinal detachment from another cause. Check documentation if the eye findings are not specific.
Coding tip
Confirm that the provider links the retinopathy to type 1 diabetes and explicitly states traction retinal detachment involving the macula.