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ICD-10 Guide
ICD-10 CodesE10.32

E10.32

Billable

Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy

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

Code Description

ICD-10 E10.32 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy.

Key Diagnostic Point:

E10.32 refers to Type 1 diabetes mellitus, a chronic condition characterized by the body's inability to produce insulin due to autoimmune destruction of pancreatic beta cells. This specific code indicates the presence of mild nonproliferative diabetic retinopathy, a common complication of diabetes where small blood vessels in the retina become damaged, leading to potential vision impairment. Mild nonproliferative diabetic retinopathy is characterized by the presence of microaneurysms and retinal hemorrhages without significant vision loss. Management of this condition typically involves maintaining optimal glycemic control, often monitored through HbA1c levels, which should ideally be below 7% for most patients. Insulin therapy is the cornerstone of treatment for Type 1 diabetes, and regular eye examinations are crucial for early detection and management of diabetic retinopathy. The interplay between diabetes management and the prevention of complications like retinopathy underscores the importance of comprehensive care in patients with Type 1 diabetes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between types of diabetic retinopathy
  • Need for precise documentation of HbA1c levels
  • Management of insulin therapy and adjustments
  • Monitoring and follow-up requirements

Audit Risk Factors

  • Inadequate documentation of retinopathy severity
  • Failure to document HbA1c levels
  • Insufficient follow-up notes on eye examinations
  • Lack of clarity on insulin management

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed records of insulin therapy, HbA1c levels, and diabetes management plans.

Common Clinical Scenarios

Patients presenting with uncontrolled blood sugar levels and complications such as retinopathy.

Billing Considerations

Ensure comprehensive documentation of all diabetes-related complications and treatments.

Ophthalmology

Documentation Requirements

Thorough documentation of retinal examinations, findings, and treatment plans.

Common Clinical Scenarios

Patients with diabetes presenting for routine eye exams or with visual complaints.

Billing Considerations

Document the severity of retinopathy and any interventions performed.

Coding Guidelines

Inclusion Criteria

Use E10.32 When
  • According to ICD
  • 10 guidelines, E10
  • 32 should be used when a patient with Type 1 diabetes has been diagnosed with mild nonproliferative diabetic retinopathy
  • Documentation must clearly indicate the presence of both conditions

Exclusion Criteria

Do NOT use E10.32 When
  • Exclusion criteria include patients with other types of diabetes or more severe forms of retinopathy

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 interventions.

Specialty Considerations

Ophthalmologists should ensure clarity in documenting the severity of retinopathy.

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 patient records and facilitating better management of chronic conditions like diabetes and its complications.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

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

Resources

Clinical References

  • •
    American Diabetes Association

Coding & Billing References

  • •
    American Diabetes Association

Frequently Asked Questions

What is the significance of HbA1c levels in managing E10.32?

HbA1c levels are crucial in managing Type 1 diabetes as they provide an average of blood glucose levels over the past 2-3 months. Maintaining an HbA1c below 7% is generally recommended to reduce the risk of complications, including diabetic retinopathy.