ICD-10 Code E11.353 – Type 2 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 E11.353 – Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula
What it is
This code identifies type 2 diabetes complicated by proliferative diabetic retinopathy and a traction retinal detachment that does not involve the macula. It reflects advanced diabetic eye disease with retinal pulling caused by scar tissue.
Clinical signs
Findings may include neovascularization, vitreoretinal traction, and retinal detachment away from the macula. Visual symptoms can vary; refer to documentation and ophthalmology notes for the exact retinal location.
When to use this code
Use this code when the record clearly documents type 2 diabetes and proliferative diabetic retinopathy with traction retinal detachment not involving the macula. It is appropriate for ophthalmology, hospital, or outpatient encounters when the complication is confirmed. Check documentation if the macula status is not stated.
Do not use for
Do not use it for diabetic retinopathy without traction detachment, or when the detachment involves the macula. If the record only says “retinal detachment” without diabetic cause, check documentation.
Coding tip
Verify both the diabetes type and the note that the macula is not involved before assigning E11.353.