ICD-10 Code E13.355 – Other specified diabetes mellitus with stable proliferative diabetic retinopathy (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code E13.355 – Other specified diabetes mellitus with stable proliferative diabetic retinopathy
What it is
This code identifies diabetes mellitus in the “other specified” category with stable proliferative diabetic retinopathy. Use it when the record documents diabetic eye disease that is present but not actively worsening.
Clinical signs
Typical findings include proliferative diabetic retinopathy with neovascular changes or prior retinal damage. Clinical features vary; refer to documentation for whether the condition is stable and not currently progressing.
When to use this code
Use this code when the provider documents other specified diabetes mellitus and specifically states stable proliferative diabetic retinopathy. It fits ophthalmology or diabetes follow-up notes that confirm diabetic retinal disease without active progression.
If the note only says diabetic retinopathy, check documentation for the exact type and stability. Code the documented diabetes category and eye complication together only when both are clearly stated.
Do not use for
Do not use it for nonproliferative retinopathy, unstable or active proliferative disease, or unspecified diabetic eye disease. Check documentation if the chart does not clearly identify the diabetes type or retinal status.
Coding tip
Verify that “stable” is explicitly documented; otherwise, do not assume this code applies.