ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesE10.3529

E10.3529

Billable

Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula (unspecified eye)

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

Code Description

ICD-10 E10.3529 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula (unspecified eye).

Key Diagnostic Point:

E10.3529 refers to a specific complication of Type 1 diabetes mellitus characterized by proliferative diabetic retinopathy (PDR) that has progressed to include traction retinal detachment involving the macula in an unspecified eye. PDR is a severe form of diabetic retinopathy where new, abnormal blood vessels grow on the retina, which can lead to vision loss. The presence of traction retinal detachment indicates that these abnormal vessels are pulling on the retina, potentially causing it to detach from the underlying tissue. This condition is often associated with poorly controlled blood glucose levels over time, leading to elevated HbA1c levels. Management typically involves strict glycemic control, regular ophthalmologic evaluations, and may require surgical intervention to repair the retinal detachment. The complexity of coding this condition arises from the need to accurately document the type of diabetes, the specific complications, and the affected eye.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires precise documentation of diabetes type and complications.
  • Involves understanding of ophthalmologic terminology and conditions.
  • Need for accurate identification of the affected eye.
  • Potential for multiple related codes depending on the severity and treatment.

Audit Risk Factors

  • Inadequate documentation of HbA1c levels.
  • Failure to specify the affected eye.
  • Lack of detailed clinical notes on the progression of diabetic retinopathy.
  • Insufficient linkage between diabetes management and ophthalmic findings.

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed records of diabetes management, including HbA1c levels and treatment plans.

Common Clinical Scenarios

Patients with poorly controlled diabetes presenting with complications.

Billing Considerations

Ensure comprehensive documentation of diabetes control and related complications.

Ophthalmology

Documentation Requirements

Thorough examination notes detailing retinal findings and treatment plans.

Common Clinical Scenarios

Patients with diabetic retinopathy requiring surgical intervention.

Billing Considerations

Accurate description of retinal findings and surgical procedures performed.

Coding Guidelines

Inclusion Criteria

Use E10.3529 When
  • Follow the official ICD
  • CM coding guidelines for diabetes mellitus and its complications
  • Ensure that the documentation supports the diagnosis and includes details about the type of diabetes, the presence of complications, and the affected eye

Exclusion Criteria

Do NOT use E10.3529 When
  • Exclude codes that do not specify the type of diabetes or the nature of the complications

Related ICD-10 Codes

Related CPT Codes

67228CPT Code

Vitrectomy, mechanical

Clinical Scenario

Used for surgical intervention in cases of traction retinal detachment.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Ophthalmology must document the indication for surgery and pre-operative assessments.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, improving the accuracy of data collection and reimbursement processes. E10.3529 provides a clear distinction for Type 1 diabetes with severe ocular complications, which was less defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, improving the accuracy of data collection and reimbursement processes. E10.3529 provides a clear distinction for Type 1 diabetes with severe ocular complications, which was less defined in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. E10.3529 provides a clear distinction for Type 1 diabetes with severe ocular complications, which was less defined in ICD-9.

Resources

Clinical References

  • •
    American Diabetes Association
  • •
    American Academy of Ophthalmology

Coding & Billing References

  • •
    American Diabetes Association
  • •
    American Academy of Ophthalmology

Frequently Asked Questions

What is the significance of specifying the affected eye?

Specifying the affected eye is crucial for accurate coding and treatment planning, as it impacts the management and potential surgical interventions required for the patient.

How does HbA1c level affect coding for this condition?

HbA1c levels provide insight into the patient's diabetes control and can influence the severity of the complications coded. Higher levels may indicate a more severe condition, warranting specific coding.