QPP Measure #117
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes and an active diagnosis of retinopathy overlapping the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period or diabetics with no diagnosis of retinopathy overlapping the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period or in the 12 months prior to the measurement period.
The following codes apply for this QPP measure:
CPT Codes | |||
| Code | Description | ||
|---|---|---|---|
| 2022F | CPT Code | ||
| 2023F | CPT Code | ||
| 2024F | CPT Code | ||
| 2025F | CPT Code | ||
| 2026F | CPT Code | ||
| 2033F | CPT Code | ||
| 3072F | CPT Code | ||
| 92002 | CPT Code | ||
| 92004 | CPT Code | ||
| 92012 | CPT Code | ||
| 92014 | CPT Code | ||
| 99202 | CPT Code | ||
| 99203 | CPT Code | ||
| 99204 | CPT Code | ||
| 99205 | CPT Code | ||
| 99212 | CPT Code | ||
| 99213 | CPT Code | ||
| 99214 | CPT Code | ||
| 99215 | CPT Code | ||
| 99341 | CPT Code | ||
| 99342 | CPT Code | ||
| 99343 | CPT Code | ||
| 99344 | CPT Code | ||
| 99345 | CPT Code | ||
| 99347 | CPT Code | ||
| 99348 | CPT Code | ||
| 99349 | CPT Code | ||
| 99350 | CPT Code | ||
| 99385 | CPT Code | ||
| 99386 | CPT Code | ||
| 99387 | CPT Code | ||
| 99395 | CPT Code | ||
| 99396 | CPT Code | ||
| 99397 | CPT Code | ||
| 99504 | CPT Code | ||
| 99509 | CPT Code | ||
HCPCS Codes | |||
| Code | Description | ||
| E0100 | Cane, includes canes of all materials, adjustable or fixed, with tip | ||
| E0105 | Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips | ||
| E0130 | Walker, rigid (pickup), adjustable or fixed height | ||
| E0135 | Walker, folding (pickup), adjustable or fixed height | ||
| E0140 | Walker, with trunk support, adjustable or fixed height, any type | ||
| E0141 | Walker, rigid, wheeled, adjustable or fixed height | ||
| E0143 | Walker, folding, wheeled, adjustable or fixed height | ||
| E0144 | Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat | ||
| E0147 | Walker, heavy duty, multiple braking system, variable wheel resistance | ||
| E0148 | Walker, heavy duty, without wheels, rigid or folding, any type, each | ||
| E0149 | Walker, heavy duty, wheeled, rigid or folding, any type | ||
| E0163 | Commode chair, mobile or stationary, with fixed arms | ||
| E0165 | Commode chair, mobile or stationary, with detachable arms | ||
| E0167 | Pail or pan for use with commode chair, replacement only | ||
| E0168 | Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each | ||
| E0170 | Commode chair with integrated seat lift mechanism, electric, any type | ||
| E0171 | Commode chair with integrated seat lift mechanism, non-electric, any type | ||
| E0250 | Hospital bed, fixed height, with any type side rails, with mattress | ||
| E0251 | Hospital bed, fixed height, with any type side rails, without mattress | ||
| E0255 | Hospital bed, variable height, hi-lo, with any type side rails, with mattress | ||
| E0256 | Hospital bed, variable height, hi-lo, with any type side rails, without mattress | ||
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | ||
| E0261 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress | ||
| E0265 | Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress | ||
| E0266 | Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress | ||
| E0270 | Hospital bed, institutional type includes: oscillating, circulating and stryker frame, with mattress | ||
| E0290 | Hospital bed, fixed height, without side rails, with mattress | ||
| E0291 | Hospital bed, fixed height, without side rails, without mattress | ||
| E0292 | Hospital bed, variable height, hi-lo, without side rails, with mattress | ||
| E0293 | Hospital bed, variable height, hi-lo, without side rails, without mattress | ||
| E0294 | Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress | ||
| E0295 | Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress | ||
| E0296 | Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress | ||
| E0297 | Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress | ||
| E0301 | Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress | ||
| E0302 | Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress | ||
| E0303 | Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress | ||
| E0304 | Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress | ||
| E0424 | Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing | ||
| E0425 | Stationary compressed gas system, purchase; includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing | ||
| E0430 | Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing | ||
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | ||
| E0433 | Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge | ||
| E0434 | Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing | ||
| E0435 | Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor | ||
| E0439 | Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing | ||
| E0440 | Stationary liquid oxygen system, purchase; includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing | ||
| E0441 | Stationary oxygen contents, gaseous, 1 month's supply = 1 unit | ||
| E0442 | Stationary oxygen contents, liquid, 1 month's supply = 1 unit | ||
| E0443 | Portable oxygen contents, gaseous, 1 month's supply = 1 unit | ||
| E0444 | Portable oxygen contents, liquid, 1 month's supply = 1 unit | ||
| E0462 | Rocking bed with or without side rails | ||
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | ||
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | ||
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | ||
| E0471 | Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | ||
| E0472 | Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device) | ||
| E0561 | Humidifier, non-heated, used with positive airway pressure device | ||
| E0562 | Humidifier, heated, used with positive airway pressure device | ||
| E1130 | Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests | ||
| E1140 | Wheelchair, detachable arms, desk or full length, swing away detachable footrests | ||
| E1150 | Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests | ||
| E1160 | Wheelchair, fixed full length arms, swing away detachable elevating legrests | ||
| E1161 | Manual adult size wheelchair, includes tilt in space | ||
| E1240 | Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest | ||
| E1250 | Lightweight wheelchair, fixed full length arms, swing away detachable footrest | ||
| E1260 | Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest | ||
| E1270 | Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests | ||
| E1280 | Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests | ||
| E1285 | Heavy duty wheelchair, fixed full length arms, swing away detachable footrest | ||
| E1290 | Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest | ||
| E1295 | Heavy duty wheelchair, fixed full length arms, elevating legrest | ||
| E1296 | Special wheelchair seat height from floor | ||
| E1297 | Special wheelchair seat depth, by upholstery | ||
| E1298 | Special wheelchair seat depth and/or width, by construction | ||
| G0162 | Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) | ||
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | ||
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | ||
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | ||
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | ||
| G0493 | Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) | ||
| G0494 | Skilled services of a licensed practical nurse (lpn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) | ||
| G2105 | Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period | ||
| G2106 | Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | ||
| G2107 | Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period | ||
| G9714 | Patient is using hospice services any time during the measurement period | ||
| S0271 | Physician management of patient home care, hospice monthly case rate (per 30 days) | ||
| S0311 | Comprehensive management and care coordination for advanced illness, per calendar month | ||
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | ||
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | ||
| T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | ||
| T1001 | Nursing assessment / evaluation | ||
| T1002 | Rn services, up to 15 minutes | ||
| T1003 | Lpn/lvn services, up to 15 minutes | ||
| T1004 | Services of a qualified nursing aide, up to 15 minutes | ||
| T1005 | Respite care services, up to 15 minutes | ||
| T1019 | Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | ||
| T1020 | Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | ||
| T1021 | Home health aide or certified nurse assistant, per visit | ||
| T1022 | Contracted home health agency services, all services provided under contract, per day | ||
| T1030 | Nursing care, in the home, by registered nurse, per diem | ||
| T1031 | Nursing care, in the home, by licensed practical nurse, per diem | ||
ICD10CM Codes | |||
| Code | Description | ||
| E10.10 | Type 1 diabetes mellitus with ketoacidosis without coma | ||
| E10.11 | Type 1 diabetes mellitus with ketoacidosis with coma | ||
| E10.21 | Type 1 diabetes mellitus with diabetic nephropathy | ||
| E10.22 | Type 1 diabetes mellitus with diabetic chronic kidney disease | ||
| E10.29 | Type 1 diabetes mellitus with other diabetic kidney complication | ||
| E10.311 | Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema | ||
| E10.319 | Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | ||
| E10.3211 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye | ||
| E10.3212 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye | ||
| E10.3213 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral | ||
| E10.3219 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye | ||
| E10.3291 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye | ||
| E10.3292 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye | ||
| E10.3293 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral | ||
| E10.3299 | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye | ||
| E10.3311 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye | ||
| E10.3312 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye | ||
| E10.3313 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral | ||
| E10.3319 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye | ||
| E10.3391 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye | ||
| E10.3392 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye | ||
| E10.3393 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral | ||
| E10.3399 | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye | ||
| E10.3411 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye | ||
| E10.3412 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye | ||
| E10.3413 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral | ||
| E10.3419 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye | ||
| E10.3491 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye | ||
| E10.3492 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye | ||
| E10.3493 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral | ||
| E10.3499 | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye | ||
| E10.3511 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye | ||
| E10.3512 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye | ||
| E10.3513 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral | ||
| E10.3519 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye | ||
| E10.3521 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye | ||
| E10.3522 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye | ||
| E10.3523 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral | ||
| E10.3529 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye | ||
| E10.3531 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye | ||
| E10.3532 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye | ||
| E10.3533 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral | ||
| E10.3539 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye | ||
| E10.3541 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye | ||
| E10.3542 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye | ||
| E10.3543 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral | ||
| E10.3549 | Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye | ||
| E10.3551 | Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, right eye | ||
| E10.3552 | Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, left eye | ||
| E10.3553 | Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral | ||
| E10.3559 | Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye | ||
| E10.3591 | Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye | ||
| E10.3592 | Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye | ||
| E10.3593 | Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral | ||
| E10.3599 | Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | ||
| E10.36 | Type 1 diabetes mellitus with diabetic cataract | ||
| E10.37X1 | Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye | ||
| E10.37X2 | Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye | ||
| E10.37X3 | Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral | ||
| E10.37X9 | Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye | ||
| E10.39 | Type 1 diabetes mellitus with other diabetic ophthalmic complication | ||
| E10.40 | Type 1 diabetes mellitus with diabetic neuropathy, unspecified | ||
| E10.41 | Type 1 diabetes mellitus with diabetic mononeuropathy | ||
| E10.42 | Type 1 diabetes mellitus with diabetic polyneuropathy | ||
| E10.43 | Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy | ||
| E10.44 | Type 1 diabetes mellitus with diabetic amyotrophy | ||
| E10.49 | Type 1 diabetes mellitus with other diabetic neurological complication | ||
| E10.51 | Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene | ||
| E10.52 | Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene | ||
| E10.59 | Type 1 diabetes mellitus with other circulatory complications | ||
| E10.610 | Type 1 diabetes mellitus with diabetic neuropathic arthropathy | ||
| E10.618 | Type 1 diabetes mellitus with other diabetic arthropathy | ||
| E10.620 | Type 1 diabetes mellitus with diabetic dermatitis | ||
| E10.621 | Type 1 diabetes mellitus with foot ulcer | ||
| E10.622 | Type 1 diabetes mellitus with other skin ulcer | ||
| E10.628 | Type 1 diabetes mellitus with other skin complications | ||
| E10.630 | Type 1 diabetes mellitus with periodontal disease | ||
| E10.638 | Type 1 diabetes mellitus with other oral complications | ||
| E10.641 | Type 1 diabetes mellitus with hypoglycemia with coma | ||
| E10.649 | Type 1 diabetes mellitus with hypoglycemia without coma | ||
| E10.65 | Type 1 diabetes mellitus with hyperglycemia | ||
| E10.69 | Type 1 diabetes mellitus with other specified complication | ||
| E10.8 | Type 1 diabetes mellitus with unspecified complications | ||
| E10.9 | Type 1 diabetes mellitus without complications | ||
| E11.00 | Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | ||
| E11.01 | Type 2 diabetes mellitus with hyperosmolarity with coma | ||
| E11.21 | Type 2 diabetes mellitus with diabetic nephropathy | ||
| E11.22 | Type 2 diabetes mellitus with diabetic chronic kidney disease | ||
| E11.29 | Type 2 diabetes mellitus with other diabetic kidney complication | ||
| E11.311 | Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema | ||
| E11.319 | Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema | ||
| E11.3211 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye | ||
| E11.3212 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye | ||
| E11.3213 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral | ||
| E11.3219 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye | ||
| E11.3291 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye | ||
| E11.3292 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye | ||
| E11.3293 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral | ||
| E11.3299 | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye | ||
| E11.3311 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye | ||
| E11.3312 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye | ||
| E11.3313 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral | ||
| E11.3319 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye | ||
| E11.3391 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye | ||
| E11.3392 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye | ||
| E11.3393 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral | ||
| E11.3399 | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye | ||
| E11.3411 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye | ||
| E11.3412 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye | ||
| E11.3413 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral | ||
| E11.3419 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye | ||
| E11.3491 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye | ||
| E11.3492 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye | ||
| E11.3493 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral | ||
| E11.3499 | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye | ||
| E11.3511 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye | ||
| E11.3512 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye | ||
| E11.3513 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral | ||
| E11.3519 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye | ||
| E11.3521 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye | ||
| E11.3522 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye | ||
| E11.3523 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral | ||
| E11.3529 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye | ||
| E11.3531 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye | ||
| E11.3532 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye | ||
| E11.3533 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral | ||
| E11.3539 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye | ||
| E11.3541 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye | ||
| E11.3542 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye | ||
| E11.3543 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral | ||
| E11.3549 | Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye | ||
| E11.3551 | Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye | ||
| E11.3552 | Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye | ||
| E11.3553 | Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral | ||
| E11.3559 | Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye | ||
| E11.3591 | Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye | ||
| E11.3592 | Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye | ||
| E11.3593 | Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral | ||
| E11.3599 | Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | ||
| E11.36 | Type 2 diabetes mellitus with diabetic cataract | ||
| E11.37X1 | Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye | ||
| E11.37X2 | Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye | ||
| E11.37X3 | Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral | ||
| E11.37X9 | Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye | ||
| E11.39 | Type 2 diabetes mellitus with other diabetic ophthalmic complication | ||
| E11.40 | Type 2 diabetes mellitus with diabetic neuropathy, unspecified | ||
| E11.41 | Type 2 diabetes mellitus with diabetic mononeuropathy | ||
| E11.42 | Type 2 diabetes mellitus with diabetic polyneuropathy | ||
| E11.43 | Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy | ||
| E11.44 | Type 2 diabetes mellitus with diabetic amyotrophy | ||
| E11.49 | Type 2 diabetes mellitus with other diabetic neurological complication | ||
| E11.51 | Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | ||
| E11.52 | Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene | ||
| E11.59 | Type 2 diabetes mellitus with other circulatory complications | ||
| E11.610 | Type 2 diabetes mellitus with diabetic neuropathic arthropathy | ||
| E11.618 | Type 2 diabetes mellitus with other diabetic arthropathy | ||
| E11.620 | Type 2 diabetes mellitus with diabetic dermatitis | ||
| E11.621 | Type 2 diabetes mellitus with foot ulcer | ||
| E11.622 | Type 2 diabetes mellitus with other skin ulcer | ||
| E11.628 | Type 2 diabetes mellitus with other skin complications | ||
| E11.630 | Type 2 diabetes mellitus with periodontal disease | ||
| E11.638 | Type 2 diabetes mellitus with other oral complications | ||
| E11.641 | Type 2 diabetes mellitus with hypoglycemia with coma | ||
| E11.649 | Type 2 diabetes mellitus with hypoglycemia without coma | ||
| E11.65 | Type 2 diabetes mellitus with hyperglycemia | ||
| E11.69 | Type 2 diabetes mellitus with other specified complication | ||
| E11.8 | Type 2 diabetes mellitus with unspecified complications | ||
| E11.9 | Type 2 diabetes mellitus without complications | ||
| E13.00 | Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | ||
| E13.01 | Other specified diabetes mellitus with hyperosmolarity with coma | ||
| E13.10 | Other specified diabetes mellitus with ketoacidosis without coma | ||
| E13.11 | Other specified diabetes mellitus with ketoacidosis with coma | ||
| E13.21 | Other specified diabetes mellitus with diabetic nephropathy | ||
| E13.22 | Other specified diabetes mellitus with diabetic chronic kidney disease | ||
| E13.29 | Other specified diabetes mellitus with other diabetic kidney complication | ||
| E13.311 | Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema | ||
| E13.319 | Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema | ||
| E13.3211 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye | ||
| E13.3212 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye | ||
| E13.3213 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral | ||
| E13.3219 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye | ||
| E13.3291 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye | ||
| E13.3292 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye | ||
| E13.3293 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral | ||
| E13.3299 | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye | ||
| E13.3311 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye | ||
| E13.3312 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye | ||
| E13.3313 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral | ||
| E13.3319 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye | ||
| E13.3391 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye | ||
| E13.3392 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye | ||
| E13.3393 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral | ||
| E13.3399 | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye | ||
| E13.3411 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye | ||
| E13.3412 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye | ||
| E13.3413 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral | ||
| E13.3419 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye | ||
| E13.3491 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye | ||
| E13.3492 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye | ||
| E13.3493 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral | ||
| E13.3499 | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye | ||
| E13.3511 | Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye | ||
| E13.3512 | Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye | ||
| E13.3513 | Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral | ||
| E13.3519 | Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye | ||
| E13.3521 | Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye | ||
| E13.3522 | Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye | ||
| E13.3523 | Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral | ||
| E13.3529 | Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye | ||
| E13.3531 | Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye | ||
| E13.3532 | Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye | ||
| E13.3533 | Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral | ||
| E13.3539 | Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye | ||
| E13.3541 | Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye | ||
| E13.3542 | Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye | ||
| E13.3543 | Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral | ||
| E13.3549 | Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye | ||
| E13.3551 | Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eye | ||
| E13.3552 | Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eye | ||
| E13.3553 | Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateral | ||
| E13.3559 | Other specified diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye | ||
| E13.3591 | Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye | ||
| E13.3592 | Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye | ||
| E13.3593 | Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral | ||
| E13.3599 | Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | ||
| E13.36 | Other specified diabetes mellitus with diabetic cataract | ||
| E13.37X1 | Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, right eye | ||
| E13.37X2 | Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, left eye | ||
| E13.37X3 | Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral | ||
| E13.37X9 | Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye | ||
| E13.39 | Other specified diabetes mellitus with other diabetic ophthalmic complication | ||
| E13.40 | Other specified diabetes mellitus with diabetic neuropathy, unspecified | ||
| E13.41 | Other specified diabetes mellitus with diabetic mononeuropathy | ||
| E13.42 | Other specified diabetes mellitus with diabetic polyneuropathy | ||
| E13.43 | Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy | ||
| E13.44 | Other specified diabetes mellitus with diabetic amyotrophy | ||
| E13.49 | Other specified diabetes mellitus with other diabetic neurological complication | ||
| E13.51 | Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | ||
| E13.52 | Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | ||
| E13.59 | Other specified diabetes mellitus with other circulatory complications | ||
| E13.610 | Other specified diabetes mellitus with diabetic neuropathic arthropathy | ||
| E13.618 | Other specified diabetes mellitus with other diabetic arthropathy | ||
| E13.620 | Other specified diabetes mellitus with diabetic dermatitis | ||
| E13.621 | Other specified diabetes mellitus with foot ulcer | ||
| E13.622 | Other specified diabetes mellitus with other skin ulcer | ||
| E13.628 | Other specified diabetes mellitus with other skin complications | ||
| E13.630 | Other specified diabetes mellitus with periodontal disease | ||
| E13.638 | Other specified diabetes mellitus with other oral complications | ||
| E13.641 | Other specified diabetes mellitus with hypoglycemia with coma | ||
| E13.649 | Other specified diabetes mellitus with hypoglycemia without coma | ||
| E13.65 | Other specified diabetes mellitus with hyperglycemia | ||
| E13.69 | Other specified diabetes mellitus with other specified complication | ||
| E13.8 | Other specified diabetes mellitus with unspecified complications | ||
| E13.9 | Other specified diabetes mellitus without complications | ||
| O24.011 | Pre-existing type 1 diabetes mellitus, in pregnancy, first trimester | ||
| O24.012 | Pre-existing type 1 diabetes mellitus, in pregnancy, second trimester | ||
| O24.013 | Pre-existing type 1 diabetes mellitus, in pregnancy, third trimester | ||
| O24.019 | Pre-existing type 1 diabetes mellitus, in pregnancy, unspecified trimester | ||
| O24.02 | Pre-existing type 1 diabetes mellitus, in childbirth | ||
| O24.03 | Pre-existing type 1 diabetes mellitus, in the puerperium | ||
| O24.111 | Pre-existing type 2 diabetes mellitus, in pregnancy, first trimester | ||
| O24.112 | Pre-existing type 2 diabetes mellitus, in pregnancy, second trimester | ||
| O24.113 | Pre-existing type 2 diabetes mellitus, in pregnancy, third trimester | ||
| O24.119 | Pre-existing type 2 diabetes mellitus, in pregnancy, unspecified trimester | ||
| O24.12 | Pre-existing type 2 diabetes mellitus, in childbirth | ||
| O24.13 | Pre-existing type 2 diabetes mellitus, in the puerperium | ||
| O24.311 | Unspecified pre-existing diabetes mellitus in pregnancy, first trimester | ||
| O24.312 | Unspecified pre-existing diabetes mellitus in pregnancy, second trimester | ||
| O24.313 | Unspecified pre-existing diabetes mellitus in pregnancy, third trimester | ||
| O24.319 | Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimester | ||
| O24.32 | Unspecified pre-existing diabetes mellitus in childbirth | ||
| O24.33 | Unspecified pre-existing diabetes mellitus in the puerperium | ||
| O24.811 | Other pre-existing diabetes mellitus in pregnancy, first trimester | ||
| O24.812 | Other pre-existing diabetes mellitus in pregnancy, second trimester | ||
| O24.813 | Other pre-existing diabetes mellitus in pregnancy, third trimester | ||
| O24.819 | Other pre-existing diabetes mellitus in pregnancy, unspecified trimester | ||
| O24.82 | Other pre-existing diabetes mellitus in childbirth | ||
| O24.83 | Other pre-existing diabetes mellitus in the puerperium | ||
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