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ICD-10 Guide
ICD-10 CodesE10.3292

E10.3292

Billable

Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema (left eye)

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E10.3292 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema (left eye).

Key Diagnostic Point:

E10.3292 refers to a specific condition where a patient has Type 1 diabetes mellitus accompanied by mild nonproliferative diabetic retinopathy in the left eye, without the presence of macular edema. Type 1 diabetes is characterized by the autoimmune destruction of insulin-producing beta cells in the pancreas, leading to absolute insulin deficiency. Diabetic retinopathy is a common complication of diabetes, resulting from damage to the retinal blood vessels. In the case of mild nonproliferative diabetic retinopathy, there are early signs of retinal damage, such as microaneurysms and retinal hemorrhages, but no significant vision impairment or macular edema. Management of this condition typically involves tight glycemic control, with an HbA1c target of less than 7% to prevent further retinal damage. Insulin therapy is often required to maintain blood glucose levels within the target range. Regular eye examinations are crucial for monitoring the progression of retinopathy and ensuring timely intervention if necessary.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the eye involved (left eye)
  • Differentiation between types of diabetic retinopathy
  • Need for accurate documentation of diabetes type and complications
  • Understanding of the relationship between HbA1c levels and retinopathy

Audit Risk Factors

  • Inadequate documentation of retinopathy severity
  • Failure to specify the eye affected
  • Incorrect coding of diabetes type
  • Lack of evidence for HbA1c levels

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed records of diabetes management, including insulin regimen and HbA1c levels.

Common Clinical Scenarios

Patients presenting with uncontrolled diabetes or complications such as retinopathy.

Billing Considerations

Ensure clear documentation of diabetes type and any associated complications.

Ophthalmology

Documentation Requirements

Comprehensive eye examination reports detailing findings of diabetic retinopathy.

Common Clinical Scenarios

Routine eye exams for diabetic patients and management of retinopathy.

Billing Considerations

Document the severity of retinopathy and any treatments provided.

Coding Guidelines

Inclusion Criteria

Use E10.3292 When
  • According to ICD
  • 10 guidelines, codes for diabetic retinopathy must specify the type and severity
  • 3292 is used when the patient has Type 1 diabetes with mild nonproliferative diabetic retinopathy without macular edema in one eye
  • Documentation must support the diagnosis and specify the eye affected

Exclusion Criteria

Do NOT use E10.3292 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92014CPT Code

Ophthalmological examination, comprehensive, established patient

Clinical Scenario

Used during routine eye exams for diabetic patients.

Documentation Requirements

Document findings of the eye exam and any retinopathy noted.

Specialty Considerations

Ophthalmologists should ensure detailed documentation of retinopathy severity.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of diabetic complications, improving the accuracy of patient records and facilitating better management of diabetes-related conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diabetic complications, improving the accuracy of patient records and facilitating better management of diabetes-related conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of diabetic complications, improving the accuracy of patient records and facilitating better management of diabetes-related conditions.

Resources

Clinical References

  • •
    American Diabetes Association

Coding & Billing References

  • •
    American Diabetes Association

Frequently Asked Questions

What does E10.3292 specifically indicate?

E10.3292 indicates Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy in the left eye, without macular edema.