E13.319

✓ Billable

Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema

Endocrine, nutritional and metabolic diseases (E00-E89)

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❌ Excludes1

inherited

Rules inherited from parent codes in the hierarchy.

  • diabetes (mellitus) due to autoimmune process (E10.-)
  • diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction (E10.-)
  • diabetes mellitus due to underlying condition (E08.-)
  • drug or chemical induced diabetes mellitus (E09.-)
  • gestational diabetes (O24.4-)
  • neonatal diabetes mellitus (P70.2)
  • type 1 diabetes mellitus (E10.-)

📋 Code Instructions

inherited
  • 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)

Clinical Description

ICD-10-CM code E13.319 represents other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema. This code falls under the Endocrine, nutritional and metabolic diseases (E00-E89) classification. It is a billable/specific code valid for HIPAA-covered transactions as of October 1, 2025 (FY2026). This code can be used to indicate a diagnosis for reimbursement purposes on insurance claims.

This is a 7-character code at the 6th level of specificity. This is the most specific code available in this subcategory. Coders should note that E13.319 has 7 Excludes1 restriction(s) — codes that cannot be reported together on the same claim.

Frequently Asked Questions

What is ICD-10 code E13.319?

ICD-10-CM code E13.319 is "Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema". It belongs to the category: Endocrine, nutritional and metabolic diseases (E00-E89).

Is E13.319 a billable ICD-10 code?

Yes, E13.319 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What codes are excluded with E13.319?

E13.319 has 7 Excludes1 rule(s). These codes are mutually exclusive and cannot be coded together on the same claim.

Related Codes in E13.31

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

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Code Information

CodeE13.319
BillableYes
ParentE13.31
CategoryEndocrine, nutritional and metabolic diseases (E00-E89)
Excludes17 rule(s)
Excludes20 note(s)

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)