ICD-10 Code E10.355 – Type 1 diabetes mellitus with stable proliferative diabetic retinopathy (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code E10.355 – Type 1 diabetes mellitus with stable proliferative diabetic retinopathy
What it is
This code identifies type 1 diabetes mellitus with proliferative diabetic retinopathy that is documented as stable. It means the patient has diabetic retinal blood vessel damage, but the condition is not currently described as worsening.
Clinical signs
Findings may include retinal neovascularization or other proliferative changes on eye examination. Clinical features vary; refer to documentation, and confirm that the retinopathy is specifically described as stable.
When to use this code
Use this code when the record states type 1 diabetes and stable proliferative diabetic retinopathy in the same encounter. It is appropriate when the ophthalmology note or problem list clearly documents the stable status. If the note only says diabetic retinopathy without stability or proliferative detail, check documentation.
Do not use for
Do not use this code for nonproliferative diabetic retinopathy, unspecified diabetic retinopathy, or proliferative retinopathy described as active or worsening. Check documentation if the chart does not clearly support the stable designation.
Coding tip
Match the diabetes type and retinopathy severity exactly as documented before assigning E10.355.