ICD-10 Code E11.355 – Type 2 diabetes mellitus with stable proliferative diabetic retinopathy (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code E11.355 – Type 2 diabetes mellitus with stable proliferative diabetic retinopathy
What it is
This code identifies type 2 diabetes with proliferative diabetic retinopathy that is documented as stable. Use it when the eye disease is present but not described as active, worsening, or uncontrolled.
Clinical signs
Clinical features may include retinal neovascularization or other proliferative changes from diabetic eye disease. Stability should be supported by documentation; if the record is unclear, check documentation.
When to use this code
Use this code when the provider states type 2 diabetes and specifically documents stable proliferative diabetic retinopathy. It is appropriate for routine follow-up visits, ophthalmology assessments, or diabetes problem lists when the retinopathy is not described as active or progressing.
Do not use for
Do not use it if the chart only mentions nonproliferative retinopathy, unspecified diabetic retinopathy, or proliferative retinopathy without stability documented. Check documentation if laterality or severity details are missing.
Coding tip
Confirm both the type 2 diabetes and the “stable proliferative” wording before assigning E11.355.