TruCare
E11.319ICD-10-CM

Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema

Billable

Chapter

E00-E89

Endocrine and metabolic

Billable

Yes

Valid as submitted on a claim line

Common pairings

2 CPT codes

92250, 92014

What the documentation has to carry

Retinal exam findings usually support a severity-specific code from E11.32- through E11.35-. The unspecified option loses risk-adjustment value.

Commonly paired CPT codes

9225092014

Pairings are typical, not a coverage determination. Check the payer policy for the line.

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This page is a free reference for billing and coding teams and is not coding, legal, or clinical advice. Code selection depends on the documentation in the record and on the policy of the payer being billed. Verify every code, instructional note, and sequencing rule against the current ICD-10-CM files and the Official Guidelines for Coding and Reporting for the applicable date of service. ICD-10-CM is maintained by the CDC's National Center for Health Statistics and published by CMS. CPT is a registered trademark of the American Medical Association. TruCare is not affiliated with CMS, NCHS, the AHA, or the AMA.

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