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E11.3

⚠ Non-billable (Header)

Type 2 diabetes mellitus with ophthalmic complications

Endocrine, nutritional and metabolic diseases (E00-E89)

⚠️ This is a category header code — not billable. Use a more specific child code below.

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❌ Excludes1

inherited

Rules inherited from parent codes in the hierarchy.

E11
  • • diabetes mellitus due to underlying condition (E08.-)
  • • drug or chemical induced diabetes mellitus (E09.-)
  • • gestational diabetes (O24.4-)
  • • neonatal diabetes mellitus (P70.2)
  • • postpancreatectomy diabetes mellitus (E13.-)
  • • postprocedural diabetes mellitus (E13.-)
  • • secondary diabetes mellitus NEC (E13.-)
  • • type 1 diabetes mellitus (E10.-)

📋 Code Instructions

inherited
E11
  • • code to identify control using:
  • • injectable non-insulin antidiabetic drugs (Z79.85)
  • • insulin (Z79.4)
  • • oral antidiabetic drugs (Z79.84)
  • • oral hypoglycemic drugs (Z79.84)

Child Codes (8)

E11.31Type 2 diabetes mellitus with unspecified diabetic retinopathyE11.32Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathyE11.33Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathyE11.34Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathyE11.35Type 2 diabetes mellitus with proliferative diabetic retinopathyE11.36Type 2 diabetes mellitus with diabetic cataractE11.37Type 2 diabetes mellitus with diabetic macular edema, resolved following treatmentE11.39Type 2 diabetes mellitus with other diabetic ophthalmic complication

Clinical Description

ICD-10-CM code E11.3 represents type 2 diabetes mellitus with ophthalmic complications. This code falls under the Endocrine, nutritional and metabolic diseases (E00-E89) classification. It is a non-billable category header code. A more specific child code from the list below must be used for billing and reimbursement purposes.

This is a 5-character code at the 4th level of specificity. There are 8 more specific child codes under E11.3. Coders should note that E11.3 has 8 Excludes1 restriction(s) — codes that cannot be reported together on the same claim.

Frequently Asked Questions

What is ICD-10 code E11.3?

ICD-10-CM code E11.3 is "Type 2 diabetes mellitus with ophthalmic complications". It belongs to the category: Endocrine, nutritional and metabolic diseases (E00-E89).

Is E11.3 a billable ICD-10 code?

No, E11.3 is a non-billable header code. A more specific child code must be used for billing.

What codes are excluded with E11.3?

E11.3 has 8 Excludes1 rule(s). These codes are mutually exclusive and cannot be coded together on the same claim.

Related Codes in E11

Other codes in the same category that may be relevant for differential coding:

E11.0Type 2 diabetes mellitus with hyperosmolarityE11.1Type 2 diabetes mellitus with ketoacidosisE11.2Type 2 diabetes mellitus with kidney complicationsE11.4Type 2 diabetes mellitus with neurological complicationsE11.5Type 2 diabetes mellitus with circulatory complicationsE11.6Type 2 diabetes mellitus with other specified complicationsE11.8Type 2 diabetes mellitus with unspecified complicationsE11.9Type 2 diabetes mellitus without complicationsE11.AType 2 diabetes mellitus without complications in remission

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Code Information

CodeE11.3
BillableNo — Header code
ParentE11
CategoryEndocrine, nutritional and metabolic diseases (E00-E89)
Excludes18 rule(s)
Excludes20 note(s)
Child codes8

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)