ICD-10 Code E13.354 – Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code E13.354 – Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment
What it is
This code identifies diabetes from another specified cause with advanced diabetic eye disease. It means proliferative diabetic retinopathy is present, along with both traction and rhegmatogenous retinal detachment in the same eye.
Clinical signs
Documentation may note neovascularization, vitreous hemorrhage, fibrosis, or retinal detachment related to diabetic retinopathy. Clinical features vary; refer to documentation.
When to use this code
Use E13.354 when the provider documents other specified diabetes mellitus and confirms proliferative diabetic retinopathy with combined traction and rhegmatogenous retinal detachment. The record should support both detachment components; check documentation if the retinal findings are incomplete. Code only when the diagnosis is stated clearly.
Do not use for
Do not use this code for nonproliferative diabetic retinopathy, isolated traction detachment, or rhegmatogenous detachment without the combined finding. If the diabetes type or eye complication is unclear, check documentation.
Coding tip
Confirm the diabetes category and the exact retinal detachment wording before assigning E13.354.