ICD-10 Code E13.353 – Other specified 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 E13.353 – Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula
What it is
This code identifies diabetes from other specified causes with proliferative diabetic retinopathy and a traction retinal detachment that does not involve the macula. It documents a severe diabetic eye complication affecting the peripheral retina.
Clinical signs
Findings typically include proliferative retinopathy, neovascularization, and evidence of tractional retinal detachment. Visual symptoms may vary; refer to documentation and ophthalmology records for the exact eye involved and macular status.
When to use this code
Use it when the record clearly states other specified diabetes mellitus with proliferative diabetic retinopathy and traction retinal detachment not involving the macula. The note should support both the diabetic eye disease and the detachment location. If laterality or macular involvement is unclear, check documentation before coding.
Do not use for
Do not use this code for nonproliferative diabetic retinopathy, macular-involving detachment, or retinal detachment unrelated to diabetes. Also avoid it when the diabetes type is different or the eye complication is not documented.
Coding tip
Confirm that “not involving the macula” is explicitly documented before assigning E13.353.