ICD-10 · PDGM grouping
E08-E13 — Diabetes mellitus
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in range
432
No clinical group
130
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
280 of the 432 codes in E08-E13 group to MMTA - Endocrine, but the range is not uniform — it spreads across 4 clinical groups. A further 130 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in E08-E13
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in E08-E13
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| E0800 | Diab d/t undrl cond w hyprosm w/o nonket hyprgly-hypros coma | None | Cannot lead a claim |
| E0801 | Diabetes due to underlying condition w hyprosm w coma | None | Cannot lead a claim |
| E0810 | Diabetes due to underlying condition w ketoacidosis w/o coma | None | Cannot lead a claim |
| E0811 | Diabetes due to underlying condition w ketoacidosis w coma | None | Cannot lead a claim |
| E0821 | Diabetes due to underlying condition w diabetic nephropathy | None | Cannot lead a claim |
| E0822 | Diabetes due to undrl cond w diabetic chronic kidney disease | None | Cannot lead a claim |
| E0829 | Diabetes due to undrl condition w oth diabetic kidney comp | None | Cannot lead a claim |
| E08311 | Diab due to undrl cond w unsp diabetic rtnop w macular edema | None | Cannot lead a claim |
| E08319 | Diab due to undrl cond w unsp diab rtnop w/o macular edema | None | Cannot lead a claim |
| E083211 | Diabetes with mild nonp rtnop with macular edema, right eye | None | Cannot lead a claim |
| E083212 | Diabetes with mild nonp rtnop with macular edema, left eye | None | Cannot lead a claim |
| E083213 | Diabetes with mild nonp rtnop with macular edema, bilateral | None | Cannot lead a claim |
| E083219 | Diabetes with mild nonp rtnop with macular edema, unsp | None | Cannot lead a claim |
| E083291 | Diabetes with mild nonp rtnop without macular edema, r eye | None | Cannot lead a claim |
| E083292 | Diab with mild nonp rtnop without macular edema, left eye | None | Cannot lead a claim |
| E083293 | Diabetes with mild nonp rtnop without macular edema, bi | None | Cannot lead a claim |
| E083299 | Diabetes with mild nonp rtnop without macular edema, unsp | None | Cannot lead a claim |
| E083311 | Diabetes with moderate nonp rtnop with macular edema, r eye | None | Cannot lead a claim |
| E083312 | Diab with moderate nonp rtnop with macular edema, left eye | None | Cannot lead a claim |
| E083313 | Diabetes with moderate nonp rtnop with macular edema, bi | None | Cannot lead a claim |
| E083319 | Diabetes with moderate nonp rtnop with macular edema, unsp | None | Cannot lead a claim |
| E083391 | Diab with moderate nonp rtnop without macular edema, r eye | None | Cannot lead a claim |
| E083392 | Diab with moderate nonp rtnop without macular edema, l eye | None | Cannot lead a claim |
| E083393 | Diabetes with moderate nonp rtnop without macular edema, bi | None | Cannot lead a claim |
| E083399 | Diab with moderate nonp rtnop without macular edema, unsp | None | Cannot lead a claim |
| E083411 | Diabetes with severe nonp rtnop with macular edema, r eye | None | Cannot lead a claim |
| E083412 | Diabetes with severe nonp rtnop with macular edema, left eye | None | Cannot lead a claim |
| E083413 | Diabetes with severe nonp rtnop with macular edema, bi | None | Cannot lead a claim |
| E083419 | Diabetes with severe nonp rtnop with macular edema, unsp | None | Cannot lead a claim |
| E083491 | Diabetes with severe nonp rtnop without macular edema, r eye | None | Cannot lead a claim |
| E083492 | Diab with severe nonp rtnop without macular edema, left eye | None | Cannot lead a claim |
| E083493 | Diabetes with severe nonp rtnop without macular edema, bi | None | Cannot lead a claim |
| E083499 | Diabetes with severe nonp rtnop without macular edema, unsp | None | Cannot lead a claim |
| E083511 | Diab with prolif diabetic rtnop with macular edema, r eye | None | Cannot lead a claim |
| E083512 | Diab with prolif diabetic rtnop with macular edema, left eye | None | Cannot lead a claim |
| E083513 | Diabetes with prolif diabetic rtnop with macular edema, bi | None | Cannot lead a claim |
| E083519 | Diabetes with prolif diabetic rtnop with macular edema, unsp | None | Cannot lead a claim |
| E083521 | Diab with prolif diab rtnop with trctn dtch macula, r eye | None | Cannot lead a claim |
| E083522 | Diab with prolif diab rtnop with trctn dtch macula, left eye | None | Cannot lead a claim |
| E083523 | Diab with prolif diabetic rtnop with trctn dtch macula, bi | None | Cannot lead a claim |
| E083529 | Diab with prolif diabetic rtnop with trctn dtch macula, unsp | None | Cannot lead a claim |
| E083531 | Diab with prolif diab rtnop with trctn dtch n-mcla, r eye | None | Cannot lead a claim |
| E083532 | Diab with prolif diab rtnop with trctn dtch n-mcla, left eye | None | Cannot lead a claim |
| E083533 | Diab with prolif diabetic rtnop with trctn dtch n-mcla, bi | None | Cannot lead a claim |
| E083539 | Diab with prolif diabetic rtnop with trctn dtch n-mcla, unsp | None | Cannot lead a claim |
| E083541 | Diabetes with prolif diabetic rtnop with comb detach, r eye | None | Cannot lead a claim |
| E083542 | Diab with prolif diabetic rtnop with comb detach, left eye | None | Cannot lead a claim |
| E083543 | Diabetes with prolif diabetic rtnop with combined detach, bi | None | Cannot lead a claim |
| E083549 | Diabetes with prolif diabetic rtnop with comb detach, unsp | None | Cannot lead a claim |
| E083551 | Diabetes with stable prolif diabetic retinopathy, right eye | None | Cannot lead a claim |
| E083552 | Diabetes with stable prolif diabetic retinopathy, left eye | None | Cannot lead a claim |
| E083553 | Diabetes with stable prolif diabetic retinopathy, bilateral | None | Cannot lead a claim |
| E083559 | Diabetes with stable prolif diabetic retinopathy, unsp | None | Cannot lead a claim |
| E083591 | Diab with prolif diabetic rtnop without macular edema, r eye | None | Cannot lead a claim |
| E083592 | Diab with prolif diab rtnop without macular edema, left eye | None | Cannot lead a claim |
| E083593 | Diab with prolif diabetic rtnop without macular edema, bi | None | Cannot lead a claim |
| E083599 | Diab with prolif diabetic rtnop without macular edema, unsp | None | Cannot lead a claim |
| E0836 | Diabetes due to underlying condition w diabetic cataract | None | Cannot lead a claim |
| E0837X1 | Diab with diabetic macular edema, resolved fol trtmt, r eye | None | Cannot lead a claim |
| E0837X2 | Diab with diab macular edema, resolved fol trtmt, left eye | None | Cannot lead a claim |
| E0837X3 | Diabetes with diabetic macular edema, resolved fol trtmt, bi | None | Cannot lead a claim |
| E0837X9 | Diab with diabetic macular edema, resolved fol trtmt, unsp | None | Cannot lead a claim |
| E0839 | Diabetes due to undrl condition w oth diabetic opth comp | None | Cannot lead a claim |
| E0840 | Diabetes due to underlying condition w diabetic neurop, unsp | None | Cannot lead a claim |
| E0841 | Diabetes due to undrl condition w diabetic mononeuropathy | None | Cannot lead a claim |
| E0842 | Diabetes due to underlying condition w diabetic polyneurop | None | Cannot lead a claim |
| E0843 | Diab due to undrl cond w diabetic autonm (poly)neuropathy | None | Cannot lead a claim |
| E0844 | Diabetes due to underlying condition w diabetic amyotrophy | None | Cannot lead a claim |
| E0849 | Diabetes due to undrl condition w oth diabetic neuro comp | None | Cannot lead a claim |
| E0851 | Diab due to undrl cond w diab prph angiopath w/o gangrene | None | Cannot lead a claim |
| E0852 | Diab due to undrl cond w diabetic prph angiopath w gangrene | None | Cannot lead a claim |
| E0859 | Diabetes due to underlying condition w oth circulatory comp | None | Cannot lead a claim |
| E08610 | Diabetes due to undrl cond w diabetic neuropathic arthrop | None | Cannot lead a claim |
| E08618 | Diabetes due to underlying condition w oth diabetic arthrop | None | Cannot lead a claim |
| E08620 | Diabetes due to underlying condition w diabetic dermatitis | None | Cannot lead a claim |
| E08621 | Diabetes mellitus due to underlying condition w foot ulcer | None | Cannot lead a claim |
| E08622 | Diabetes due to underlying condition w oth skin ulcer | None | Cannot lead a claim |
| E08628 | Diabetes due to underlying condition w oth skin comp | None | Cannot lead a claim |
| E08630 | Diabetes due to underlying condition w periodontal disease | None | Cannot lead a claim |
| E08638 | Diabetes due to underlying condition w oth oral comp | None | Cannot lead a claim |
| E08641 | Diabetes due to underlying condition w hypoglycemia w coma | None | Cannot lead a claim |
| E08649 | Diabetes due to underlying condition w hypoglycemia w/o coma | None | Cannot lead a claim |
| E0865 | Diabetes due to underlying condition w hyperglycemia | None | Cannot lead a claim |
| E0869 | Diabetes due to underlying condition w oth complication | None | Cannot lead a claim |
| E088 | Diabetes due to underlying condition w unsp complications | None | Cannot lead a claim |
| E089 | Diabetes due to underlying condition w/o complications | None | Cannot lead a claim |
| E0900 | Drug/chem diab w hyprosm w/o nonket hyprgly-hypros coma | I | Can lead a claim, code first applies |
| E0901 | Drug/chem diabetes mellitus w hyperosmolarity w coma | I | Can lead a claim, code first applies |
| E0910 | Drug/chem diabetes mellitus w ketoacidosis w/o coma | I | Can lead a claim, code first applies |
| E0911 | Drug/chem diabetes mellitus w ketoacidosis w coma | I | Can lead a claim, code first applies |
| E0921 | Drug/chem diabetes mellitus w diabetic nephropathy | I | Can lead a claim, code first applies |
| E0922 | Drug/chem diabetes w diabetic chronic kidney disease | I | Can lead a claim, code first applies |
| E0929 | Drug/chem diabetes w oth diabetic kidney complication | I | Can lead a claim, code first applies |
| E09311 | Drug/chem diabetes w unsp diabetic rtnop w macular edema | I | Can lead a claim, code first applies |
| E09319 | Drug/chem diabetes w unsp diabetic rtnop w/o macular edema | I | Can lead a claim, code first applies |
| E093211 | Drug/chem diab with mild nonp rtnop with mclr edema, r eye | I | Can lead a claim, code first applies |
| E093212 | Drug/chem diab with mild nonp rtnop with mclr edema, l eye | I | Can lead a claim, code first applies |
| E093213 | Drug/chem diab with mild nonp rtnop with macular edema, bi | I | Can lead a claim, code first applies |
| E093219 | Drug/chem diab with mild nonp rtnop with macular edema, unsp | I | Can lead a claim, code first applies |
| E093291 | Drug/chem diab with mild nonp rtnop w/o mclr edema, r eye | I | Can lead a claim, code first applies |
| E093292 | Drug/chem diab with mild nonp rtnop w/o mclr edema, l eye | I | Can lead a claim, code first applies |
| E093293 | Drug/chem diab with mild nonp rtnop without mclr edema, bi | I | Can lead a claim, code first applies |
| E093299 | Drug/chem diab with mild nonp rtnop without mclr edema, unsp | I | Can lead a claim, code first applies |
| E093311 | Drug/chem diab with mod nonp rtnop with macular edema, r eye | I | Can lead a claim, code first applies |
| E093312 | Drug/chem diab with mod nonp rtnop with macular edema, l eye | I | Can lead a claim, code first applies |
| E093313 | Drug/chem diab with mod nonp rtnop with macular edema, bi | I | Can lead a claim, code first applies |
| E093319 | Drug/chem diab with mod nonp rtnop with macular edema, unsp | I | Can lead a claim, code first applies |
| E093391 | Drug/chem diab with mod nonp rtnop without mclr edema, r eye | I | Can lead a claim, code first applies |
| E093392 | Drug/chem diab with mod nonp rtnop without mclr edema, l eye | I | Can lead a claim, code first applies |
| E093393 | Drug/chem diab with mod nonp rtnop without macular edema, bi | I | Can lead a claim, code first applies |
| E093399 | Drug/chem diab with mod nonp rtnop without mclr edema, unsp | I | Can lead a claim, code first applies |
| E093411 | Drug/chem diab with severe nonp rtnop with mclr edema, r eye | I | Can lead a claim, code first applies |
| E093412 | Drug/chem diab with severe nonp rtnop with mclr edema, l eye | I | Can lead a claim, code first applies |
| E093413 | Drug/chem diab with severe nonp rtnop with macular edema, bi | I | Can lead a claim, code first applies |
| E093419 | Drug/chem diab with severe nonp rtnop with mclr edema, unsp | I | Can lead a claim, code first applies |
| E093491 | Drug/chem diab with severe nonp rtnop w/o mclr edema, r eye | I | Can lead a claim, code first applies |
| E093492 | Drug/chem diab with severe nonp rtnop w/o mclr edema, l eye | I | Can lead a claim, code first applies |
| E093493 | Drug/chem diab with severe nonp rtnop without mclr edema, bi | I | Can lead a claim, code first applies |
| E093499 | Drug/chem diab with severe nonp rtnop w/o mclr edema, unsp | I | Can lead a claim, code first applies |
| E093511 | Drug/chem diab with prolif diab rtnop with mclr edema, r eye | I | Can lead a claim, code first applies |
| E093512 | Drug/chem diab with prolif diab rtnop with mclr edema, l eye | I | Can lead a claim, code first applies |
| E093513 | Drug/chem diab with prolif diab rtnop with macular edema, bi | I | Can lead a claim, code first applies |
| E093519 | Drug/chem diab with prolif diab rtnop with mclr edema, unsp | I | Can lead a claim, code first applies |
| E093521 | Drug/chem diab w prolif diab rtnop w trctn dtch macula,r eye | I | Can lead a claim, code first applies |
| E093522 | Drug/chem diab w prolif diab rtnop w trctn dtch macula,l eye | I | Can lead a claim, code first applies |
| E093523 | Drug/chem diab w prolif diab rtnop w trctn dtch macula, bi | I | Can lead a claim, code first applies |
| E093529 | Drug/chem diab w prolif diab rtnop w trctn dtch macula, unsp | I | Can lead a claim, code first applies |
| E093531 | Drug/chem diab w prolif diab rtnop w trctn dtch n-mcla,r eye | I | Can lead a claim, code first applies |
| E093532 | Drug/chem diab w prolif diab rtnop w trctn dtch n-mcla,l eye | I | Can lead a claim, code first applies |
| E093533 | Drug/chem diab w prolif diab rtnop w trctn dtch n-mcla, bi | I | Can lead a claim, code first applies |
| E093539 | Drug/chem diab w prolif diab rtnop w trctn dtch n-mcla, unsp | I | Can lead a claim, code first applies |
| E093541 | Drug/chem diab w prolif diab rtnop with comb detach, r eye | I | Can lead a claim, code first applies |
| E093542 | Drug/chem diab w prolif diab rtnop with comb detach, l eye | I | Can lead a claim, code first applies |
| E093543 | Drug/chem diab with prolif diab rtnop with comb detach, bi | I | Can lead a claim, code first applies |
| E093549 | Drug/chem diab with prolif diab rtnop with comb detach, unsp | I | Can lead a claim, code first applies |
| E093551 | Drug/chem diabetes with stable prolif diabetic rtnop, r eye | I | Can lead a claim, code first applies |
| E093552 | Drug/chem diab with stable prolif diabetic rtnop, left eye | I | Can lead a claim, code first applies |
| E093553 | Drug/chem diabetes with stable prolif diabetic rtnop, bi | I | Can lead a claim, code first applies |
| E093559 | Drug/chem diabetes with stable prolif diabetic rtnop, unsp | I | Can lead a claim, code first applies |
| E093591 | Drug/chem diab with prolif diab rtnop w/o mclr edema, r eye | I | Can lead a claim, code first applies |
| E093592 | Drug/chem diab with prolif diab rtnop w/o mclr edema, l eye | I | Can lead a claim, code first applies |
| E093593 | Drug/chem diab with prolif diab rtnop without mclr edema, bi | I | Can lead a claim, code first applies |
| E093599 | Drug/chem diab with prolif diab rtnop w/o mclr edema, unsp | I | Can lead a claim, code first applies |
| E0936 | Drug/chem diabetes mellitus w diabetic cataract | I | Can lead a claim, code first applies |
| E0937X1 | Drug/chem diab w diab mclr edma, resolved fol trtmt, r eye | I | Can lead a claim, code first applies |
| E0937X2 | Drug/chem diab w diab mclr edma, resolved fol trtmt, l eye | I | Can lead a claim, code first applies |
| E0937X3 | Drug/chem diab with diab mclr edema, resolved fol trtmt, bi | I | Can lead a claim, code first applies |
| E0937X9 | Drug/chem diab with diab mclr edma, resolved fol trtmt, unsp | I | Can lead a claim, code first applies |
| E0939 | Drug/chem diabetes w oth diabetic ophthalmic complication | I | Can lead a claim, code first applies |
| E0940 | Drug/chem diabetes w neuro comp w diabetic neuropathy, unsp | I | Can lead a claim, code first applies |
| E0941 | Drug/chem diabetes w neuro comp w diabetic mononeuropathy | I | Can lead a claim, code first applies |
| E0942 | Drug/chem diabetes w neurological comp w diabetic polyneurop | I | Can lead a claim, code first applies |
| E0943 | Drug/chem diab w neuro comp w diab autonm (poly)neuropathy | I | Can lead a claim, code first applies |
| E0944 | Drug/chem diabetes w neurological comp w diabetic amyotrophy | I | Can lead a claim, code first applies |
| E0949 | Drug/chem diabetes w neuro comp w oth diabetic neuro comp | I | Can lead a claim, code first applies |
| E0951 | Drug/chem diabetes w diabetic prph angiopath w/o gangrene | I | Can lead a claim, code first applies |
| E0952 | Drug/chem diabetes w diabetic prph angiopath w gangrene | C | Can lead a claim, code first applies |
| E0959 | Drug/chem diabetes mellitus w oth circulatory complications | I | Can lead a claim, code first applies |
| E09610 | Drug/chem diabetes w diabetic neuropathic arthropathy | I | Can lead a claim, code first applies |
| E09618 | Drug/chem diabetes mellitus w oth diabetic arthropathy | I | Can lead a claim, code first applies |
| E09620 | Drug/chem diabetes mellitus w diabetic dermatitis | I | Can lead a claim, code first applies |
| E09621 | Drug or chemical induced diabetes mellitus with foot ulcer | C | Can lead a claim, code first applies |
| E09622 | Drug or chemical induced diabetes mellitus w oth skin ulcer | C | Can lead a claim, code first applies |
| E09628 | Drug/chem diabetes mellitus w oth skin complications | I | Can lead a claim, code first applies |
| E09630 | Drug/chem diabetes mellitus w periodontal disease | I | Can lead a claim, code first applies |
| E09638 | Drug/chem diabetes mellitus w oth oral complications | I | Can lead a claim, code first applies |
| E09641 | Drug/chem diabetes mellitus w hypoglycemia w coma | I | Can lead a claim, code first applies |
| E09649 | Drug/chem diabetes mellitus w hypoglycemia w/o coma | I | Can lead a claim, code first applies |
| E0965 | Drug or chemical induced diabetes mellitus w hyperglycemia | I | Can lead a claim, code first applies |
| E0969 | Drug/chem diabetes mellitus w oth complication | I | Can lead a claim, code first applies |
| E098 | Drug/chem diabetes mellitus w unsp complications | None | Cannot lead a claim |
| E099 | Drug or chemical induced diabetes mellitus w/o complications | I | Can lead a claim, code first applies |
| E1010 | Type 1 diabetes mellitus with ketoacidosis without coma | I | Can lead a claim |
| E1011 | Type 1 diabetes mellitus with ketoacidosis with coma | I | Can lead a claim |
| E1021 | Type 1 diabetes mellitus with diabetic nephropathy | I | Can lead a claim |
| E1022 | Type 1 diabetes mellitus w diabetic chronic kidney disease | I | Can lead a claim |
| E1029 | Type 1 diabetes mellitus w oth diabetic kidney complication | I | Can lead a claim |
| E10311 | Type 1 diabetes w unsp diabetic retinopathy w macular edema | I | Can lead a claim |
| E10319 | Type 1 diabetes w unsp diabetic rtnop w/o macular edema | I | Can lead a claim |
| E103211 | Type 1 diab with mild nonp rtnop with macular edema, r eye | I | Can lead a claim |
| E103212 | Type 1 diab with mild nonp rtnop with macular edema, l eye | I | Can lead a claim |
| E103213 | Type 1 diabetes with mild nonp rtnop with macular edema, bi | I | Can lead a claim |
| E103219 | Type 1 diab with mild nonp rtnop with macular edema, unsp | None | Cannot lead a claim |
| E103291 | Type 1 diab with mild nonp rtnop without mclr edema, r eye | I | Can lead a claim |
| E103292 | Type 1 diab with mild nonp rtnop without mclr edema, l eye | I | Can lead a claim |
| E103293 | Type 1 diab with mild nonp rtnop without macular edema, bi | I | Can lead a claim |
| E103299 | Type 1 diab with mild nonp rtnop without macular edema, unsp | None | Cannot lead a claim |
| E103311 | Type 1 diab with mod nonp rtnop with macular edema, r eye | I | Can lead a claim |
| E103312 | Type 1 diab with mod nonp rtnop with macular edema, l eye | I | Can lead a claim |
| E103313 | Type 1 diab with moderate nonp rtnop with macular edema, bi | I | Can lead a claim |
| E103319 | Type 1 diab with mod nonp rtnop with macular edema, unsp | None | Cannot lead a claim |
| E103391 | Type 1 diab with mod nonp rtnop without macular edema, r eye | I | Can lead a claim |
| E103392 | Type 1 diab with mod nonp rtnop without macular edema, l eye | I | Can lead a claim |
| E103393 | Type 1 diab with mod nonp rtnop without macular edema, bi | I | Can lead a claim |
| E103399 | Type 1 diab with mod nonp rtnop without macular edema, unsp | None | Cannot lead a claim |
| E103411 | Type 1 diab with severe nonp rtnop with macular edema, r eye | I | Can lead a claim |
| E103412 | Type 1 diab with severe nonp rtnop with macular edema, l eye | I | Can lead a claim |
| E103413 | Type 1 diab with severe nonp rtnop with macular edema, bi | I | Can lead a claim |
| E103419 | Type 1 diab with severe nonp rtnop with macular edema, unsp | None | Cannot lead a claim |
| E103491 | Type 1 diab with severe nonp rtnop without mclr edema, r eye | I | Can lead a claim |
| E103492 | Type 1 diab with severe nonp rtnop without mclr edema, l eye | I | Can lead a claim |
| E103493 | Type 1 diab with severe nonp rtnop without macular edema, bi | I | Can lead a claim |
| E103499 | Type 1 diab with severe nonp rtnop without mclr edema, unsp | None | Cannot lead a claim |
| E103511 | Type 1 diab with prolif diab rtnop with macular edema, r eye | I | Can lead a claim |
| E103512 | Type 1 diab with prolif diab rtnop with macular edema, l eye | I | Can lead a claim |
| E103513 | Type 1 diab with prolif diab rtnop with macular edema, bi | I | Can lead a claim |
| E103519 | Type 1 diab with prolif diab rtnop with macular edema, unsp | None | Cannot lead a claim |
| E103521 | Type 1 diab w prolif diab rtnop w trctn dtch macula, r eye | I | Can lead a claim |
| E103522 | Type 1 diab w prolif diab rtnop w trctn dtch macula, l eye | I | Can lead a claim |
| E103523 | Type 1 diab w prolif diab rtnop with trctn dtch macula, bi | I | Can lead a claim |
| E103529 | Type 1 diab w prolif diab rtnop with trctn dtch macula, unsp | None | Cannot lead a claim |
| E103531 | Type 1 diab w prolif diab rtnop w trctn dtch n-mcla, r eye | I | Can lead a claim |
| E103532 | Type 1 diab w prolif diab rtnop w trctn dtch n-mcla, l eye | I | Can lead a claim |
| E103533 | Type 1 diab w prolif diab rtnop with trctn dtch n-mcla, bi | I | Can lead a claim |
| E103539 | Type 1 diab w prolif diab rtnop with trctn dtch n-mcla, unsp | None | Cannot lead a claim |
| E103541 | Type 1 diab with prolif diab rtnop with comb detach, r eye | I | Can lead a claim |
| E103542 | Type 1 diab with prolif diab rtnop with comb detach, l eye | I | Can lead a claim |
| E103543 | Type 1 diab with prolif diabetic rtnop with comb detach, bi | I | Can lead a claim |
| E103549 | Type 1 diab with prolif diab rtnop with comb detach, unsp | None | Cannot lead a claim |
| E103551 | Type 1 diabetes with stable prolif diabetic rtnop, right eye | I | Can lead a claim |
| E103552 | Type 1 diabetes with stable prolif diabetic rtnop, left eye | I | Can lead a claim |
| E103553 | Type 1 diabetes with stable prolif diabetic rtnop, bilateral | I | Can lead a claim |
| E103559 | Type 1 diabetes with stable prolif diabetic rtnop, unsp | None | Cannot lead a claim |
| E103591 | Type 1 diab with prolif diab rtnop without mclr edema, r eye | I | Can lead a claim |
| E103592 | Type 1 diab with prolif diab rtnop without mclr edema, l eye | I | Can lead a claim |
| E103593 | Type 1 diab with prolif diab rtnop without macular edema, bi | I | Can lead a claim |
| E103599 | Type 1 diab with prolif diab rtnop without mclr edema, unsp | None | Cannot lead a claim |
| E1036 | Type 1 diabetes mellitus with diabetic cataract | I | Can lead a claim |
| E1037X1 | Type 1 diab with diab mclr edema, resolved fol trtmt, r eye | I | Can lead a claim |
| E1037X2 | Type 1 diab with diab mclr edema, resolved fol trtmt, l eye | I | Can lead a claim |
| E1037X3 | Type 1 diab with diab macular edema, resolved fol trtmt, bi | I | Can lead a claim |
| E1037X9 | Type 1 diab with diab mclr edema, resolved fol trtmt, unsp | None | Cannot lead a claim |
| E1039 | Type 1 diabetes w oth diabetic ophthalmic complication | I | Can lead a claim |
| E1040 | Type 1 diabetes mellitus with diabetic neuropathy, unsp | I | Can lead a claim |
| E1041 | Type 1 diabetes mellitus with diabetic mononeuropathy | I | Can lead a claim |
| E1042 | Type 1 diabetes mellitus with diabetic polyneuropathy | I | Can lead a claim |
| E1043 | Type 1 diabetes w diabetic autonomic (poly)neuropathy | I | Can lead a claim |
| E1044 | Type 1 diabetes mellitus with diabetic amyotrophy | I | Can lead a claim |
| E1049 | Type 1 diabetes w oth diabetic neurological complication | B | Can lead a claim |
| E1051 | Type 1 diabetes w diabetic peripheral angiopath w/o gangrene | I | Can lead a claim |
| E1052 | Type 1 diabetes w diabetic peripheral angiopathy w gangrene | C | Can lead a claim |
| E1059 | Type 1 diabetes mellitus with oth circulatory complications | I | Can lead a claim |
| E10610 | Type 1 diabetes mellitus w diabetic neuropathic arthropathy | I | Can lead a claim |
| E10618 | Type 1 diabetes mellitus with other diabetic arthropathy | I | Can lead a claim |
| E10620 | Type 1 diabetes mellitus with diabetic dermatitis | I | Can lead a claim |
| E10621 | Type 1 diabetes mellitus with foot ulcer | C | Can lead a claim |
| E10622 | Type 1 diabetes mellitus with other skin ulcer | C | Can lead a claim |
| E10628 | Type 1 diabetes mellitus with other skin complications | C | Can lead a claim |
| E10630 | Type 1 diabetes mellitus with periodontal disease | I | Can lead a claim |
| E10638 | Type 1 diabetes mellitus with other oral complications | I | Can lead a claim |
| E10641 | Type 1 diabetes mellitus with hypoglycemia with coma | I | Can lead a claim |
| E10649 | Type 1 diabetes mellitus with hypoglycemia without coma | I | Can lead a claim |
| E1065 | Type 1 diabetes mellitus with hyperglycemia | I | Can lead a claim |
| E1069 | Type 1 diabetes mellitus with other specified complication | I | Can lead a claim |
| E108 | Type 1 diabetes mellitus with unspecified complications | None | Cannot lead a claim |
| E109 | Type 1 diabetes mellitus without complications | A | Can lead a claim |
| E10A0 | Type 1 diabetes mellitus, presymptomatic, unspecified | A | Can lead a claim |
| E10A1 | Type 1 diabetes mellitus, presymptomatic, Stage 1 | A | Can lead a claim |
| E10A2 | Type 1 diabetes mellitus, presymptomatic, Stage 2 | A | Can lead a claim |
| E1100 | Type 2 diab w hyprosm w/o nonket hyprgly-hypros coma (NKHHC) | I | Can lead a claim |
| E1101 | Type 2 diabetes mellitus with hyperosmolarity with coma | I | Can lead a claim |
| E1110 | Type 2 diabetes mellitus with ketoacidosis without coma | I | Can lead a claim |
| E1111 | Type 2 diabetes mellitus with ketoacidosis with coma | I | Can lead a claim |
| E1121 | Type 2 diabetes mellitus with diabetic nephropathy | I | Can lead a claim |
| E1122 | Type 2 diabetes mellitus w diabetic chronic kidney disease | I | Can lead a claim |
| E1129 | Type 2 diabetes mellitus w oth diabetic kidney complication | I | Can lead a claim |
| E11311 | Type 2 diabetes w unsp diabetic retinopathy w macular edema | I | Can lead a claim |
| E11319 | Type 2 diabetes w unsp diabetic rtnop w/o macular edema | I | Can lead a claim |
| E113211 | Type 2 diab with mild nonp rtnop with macular edema, r eye | I | Can lead a claim |
| E113212 | Type 2 diab with mild nonp rtnop with macular edema, l eye | I | Can lead a claim |
| E113213 | Type 2 diabetes with mild nonp rtnop with macular edema, bi | I | Can lead a claim |
| E113219 | Type 2 diab with mild nonp rtnop with macular edema, unsp | None | Cannot lead a claim |
| E113291 | Type 2 diab with mild nonp rtnop without mclr edema, r eye | I | Can lead a claim |
| E113292 | Type 2 diab with mild nonp rtnop without mclr edema, l eye | I | Can lead a claim |
| E113293 | Type 2 diab with mild nonp rtnop without macular edema, bi | I | Can lead a claim |
| E113299 | Type 2 diab with mild nonp rtnop without macular edema, unsp | None | Cannot lead a claim |
| E113311 | Type 2 diab with mod nonp rtnop with macular edema, r eye | I | Can lead a claim |
| E113312 | Type 2 diab with mod nonp rtnop with macular edema, l eye | I | Can lead a claim |
| E113313 | Type 2 diab with moderate nonp rtnop with macular edema, bi | I | Can lead a claim |
| E113319 | Type 2 diab with mod nonp rtnop with macular edema, unsp | None | Cannot lead a claim |
| E113391 | Type 2 diab with mod nonp rtnop without macular edema, r eye | I | Can lead a claim |
| E113392 | Type 2 diab with mod nonp rtnop without macular edema, l eye | I | Can lead a claim |
| E113393 | Type 2 diab with mod nonp rtnop without macular edema, bi | I | Can lead a claim |
| E113399 | Type 2 diab with mod nonp rtnop without macular edema, unsp | None | Cannot lead a claim |
| E113411 | Type 2 diab with severe nonp rtnop with macular edema, r eye | I | Can lead a claim |
| E113412 | Type 2 diab with severe nonp rtnop with macular edema, l eye | I | Can lead a claim |
| E113413 | Type 2 diab with severe nonp rtnop with macular edema, bi | I | Can lead a claim |
| E113419 | Type 2 diab with severe nonp rtnop with macular edema, unsp | None | Cannot lead a claim |
| E113491 | Type 2 diab with severe nonp rtnop without mclr edema, r eye | I | Can lead a claim |
| E113492 | Type 2 diab with severe nonp rtnop without mclr edema, l eye | I | Can lead a claim |
| E113493 | Type 2 diab with severe nonp rtnop without macular edema, bi | I | Can lead a claim |
| E113499 | Type 2 diab with severe nonp rtnop without mclr edema, unsp | None | Cannot lead a claim |
| E113511 | Type 2 diab with prolif diab rtnop with macular edema, r eye | I | Can lead a claim |
| E113512 | Type 2 diab with prolif diab rtnop with macular edema, l eye | I | Can lead a claim |
| E113513 | Type 2 diab with prolif diab rtnop with macular edema, bi | I | Can lead a claim |
| E113519 | Type 2 diab with prolif diab rtnop with macular edema, unsp | None | Cannot lead a claim |
| E113521 | Type 2 diab w prolif diab rtnop w trctn dtch macula, r eye | I | Can lead a claim |
| E113522 | Type 2 diab w prolif diab rtnop w trctn dtch macula, l eye | I | Can lead a claim |
| E113523 | Type 2 diab w prolif diab rtnop with trctn dtch macula, bi | I | Can lead a claim |
| E113529 | Type 2 diab w prolif diab rtnop with trctn dtch macula, unsp | None | Cannot lead a claim |
| E113531 | Type 2 diab w prolif diab rtnop w trctn dtch n-mcla, r eye | I | Can lead a claim |
| E113532 | Type 2 diab w prolif diab rtnop w trctn dtch n-mcla, l eye | I | Can lead a claim |
| E113533 | Type 2 diab w prolif diab rtnop with trctn dtch n-mcla, bi | I | Can lead a claim |
| E113539 | Type 2 diab w prolif diab rtnop with trctn dtch n-mcla, unsp | None | Cannot lead a claim |
| E113541 | Type 2 diab with prolif diab rtnop with comb detach, r eye | I | Can lead a claim |
| E113542 | Type 2 diab with prolif diab rtnop with comb detach, l eye | I | Can lead a claim |
| E113543 | Type 2 diab with prolif diabetic rtnop with comb detach, bi | I | Can lead a claim |
| E113549 | Type 2 diab with prolif diab rtnop with comb detach, unsp | None | Cannot lead a claim |
| E113551 | Type 2 diabetes with stable prolif diabetic rtnop, right eye | I | Can lead a claim |
| E113552 | Type 2 diabetes with stable prolif diabetic rtnop, left eye | I | Can lead a claim |
| E113553 | Type 2 diabetes with stable prolif diabetic rtnop, bilateral | I | Can lead a claim |
| E113559 | Type 2 diabetes with stable prolif diabetic rtnop, unsp | None | Cannot lead a claim |
| E113591 | Type 2 diab with prolif diab rtnop without mclr edema, r eye | I | Can lead a claim |
| E113592 | Type 2 diab with prolif diab rtnop without mclr edema, l eye | I | Can lead a claim |
| E113593 | Type 2 diab with prolif diab rtnop without macular edema, bi | I | Can lead a claim |
| E113599 | Type 2 diab with prolif diab rtnop without mclr edema, unsp | None | Cannot lead a claim |
| E1136 | Type 2 diabetes mellitus with diabetic cataract | I | Can lead a claim |
| E1137X1 | Type 2 diab with diab mclr edema, resolved fol trtmt, r eye | I | Can lead a claim |
| E1137X2 | Type 2 diab with diab mclr edema, resolved fol trtmt, l eye | I | Can lead a claim |
| E1137X3 | Type 2 diab with diab macular edema, resolved fol trtmt, bi | I | Can lead a claim |
| E1137X9 | Type 2 diab with diab mclr edema, resolved fol trtmt, unsp | None | Cannot lead a claim |
| E1139 | Type 2 diabetes w oth diabetic ophthalmic complication | I | Can lead a claim |
| E1140 | Type 2 diabetes mellitus with diabetic neuropathy, unsp | I | Can lead a claim |
| E1141 | Type 2 diabetes mellitus with diabetic mononeuropathy | I | Can lead a claim |
| E1142 | Type 2 diabetes mellitus with diabetic polyneuropathy | I | Can lead a claim |
| E1143 | Type 2 diabetes w diabetic autonomic (poly)neuropathy | I | Can lead a claim |
| E1144 | Type 2 diabetes mellitus with diabetic amyotrophy | I | Can lead a claim |
| E1149 | Type 2 diabetes w oth diabetic neurological complication | B | Can lead a claim |
| E1151 | Type 2 diabetes w diabetic peripheral angiopath w/o gangrene | I | Can lead a claim |
| E1152 | Type 2 diabetes w diabetic peripheral angiopathy w gangrene | C | Can lead a claim |
| E1159 | Type 2 diabetes mellitus with oth circulatory complications | I | Can lead a claim |
| E11610 | Type 2 diabetes mellitus w diabetic neuropathic arthropathy | I | Can lead a claim |
| E11618 | Type 2 diabetes mellitus with other diabetic arthropathy | I | Can lead a claim |
| E11620 | Type 2 diabetes mellitus with diabetic dermatitis | I | Can lead a claim |
| E11621 | Type 2 diabetes mellitus with foot ulcer | C | Can lead a claim |
| E11622 | Type 2 diabetes mellitus with other skin ulcer | C | Can lead a claim |
| E11628 | Type 2 diabetes mellitus with other skin complications | C | Can lead a claim |
| E11630 | Type 2 diabetes mellitus with periodontal disease | I | Can lead a claim |
| E11638 | Type 2 diabetes mellitus with other oral complications | I | Can lead a claim |
| E11641 | Type 2 diabetes mellitus with hypoglycemia with coma | I | Can lead a claim |
| E11649 | Type 2 diabetes mellitus with hypoglycemia without coma | I | Can lead a claim |
| E1165 | Type 2 diabetes mellitus with hyperglycemia | I | Can lead a claim |
| E1169 | Type 2 diabetes mellitus with other specified complication | I | Can lead a claim |
| E118 | Type 2 diabetes mellitus with unspecified complications | None | Cannot lead a claim |
| E119 | Type 2 diabetes mellitus without complications | I | Can lead a claim |
| E11A | Type 2 diabetes mellitus without complications in remission | I | Can lead a claim |
| E1300 | Oth diab w hyprosm w/o nonket hyprgly-hypros coma (NKHHC) | I | Can lead a claim |
| E1301 | Oth diabetes mellitus with hyperosmolarity with coma | I | Can lead a claim |
| E1310 | Oth diabetes mellitus with ketoacidosis without coma | I | Can lead a claim |
| E1311 | Oth diabetes mellitus with ketoacidosis with coma | I | Can lead a claim |
| E1321 | Other specified diabetes mellitus with diabetic nephropathy | I | Can lead a claim |
| E1322 | Oth diabetes mellitus with diabetic chronic kidney disease | I | Can lead a claim |
| E1329 | Oth diabetes mellitus with oth diabetic kidney complication | I | Can lead a claim |
| E13311 | Oth diabetes w unsp diabetic retinopathy w macular edema | I | Can lead a claim |
| E13319 | Oth diabetes w unsp diabetic retinopathy w/o macular edema | I | Can lead a claim |
| E133211 | Oth diabetes with mild nonp rtnop with macular edema, r eye | I | Can lead a claim |
| E133212 | Oth diab with mild nonp rtnop with macular edema, left eye | I | Can lead a claim |
| E133213 | Oth diabetes with mild nonp rtnop with macular edema, bi | I | Can lead a claim |
| E133219 | Oth diabetes with mild nonp rtnop with macular edema, unsp | None | Cannot lead a claim |
| E133291 | Oth diab with mild nonp rtnop without macular edema, r eye | I | Can lead a claim |
| E133292 | Oth diab with mild nonp rtnop without macular edema, l eye | I | Can lead a claim |
| E133293 | Oth diabetes with mild nonp rtnop without macular edema, bi | I | Can lead a claim |
| E133299 | Oth diab with mild nonp rtnop without macular edema, unsp | None | Cannot lead a claim |
| E133311 | Oth diab with moderate nonp rtnop with macular edema, r eye | I | Can lead a claim |
| E133312 | Oth diab with moderate nonp rtnop with macular edema, l eye | I | Can lead a claim |
| E133313 | Oth diabetes with moderate nonp rtnop with macular edema, bi | I | Can lead a claim |
| E133319 | Oth diab with moderate nonp rtnop with macular edema, unsp | None | Cannot lead a claim |
| E133391 | Oth diab with mod nonp rtnop without macular edema, r eye | I | Can lead a claim |
| E133392 | Oth diab with mod nonp rtnop without macular edema, l eye | I | Can lead a claim |
| E133393 | Oth diab with moderate nonp rtnop without macular edema, bi | I | Can lead a claim |
| E133399 | Oth diab with mod nonp rtnop without macular edema, unsp | None | Cannot lead a claim |
| E133411 | Oth diab with severe nonp rtnop with macular edema, r eye | I | Can lead a claim |
| E133412 | Oth diab with severe nonp rtnop with macular edema, left eye | I | Can lead a claim |
| E133413 | Oth diabetes with severe nonp rtnop with macular edema, bi | I | Can lead a claim |
| E133419 | Oth diabetes with severe nonp rtnop with macular edema, unsp | None | Cannot lead a claim |
| E133491 | Oth diab with severe nonp rtnop without macular edema, r eye | I | Can lead a claim |
| E133492 | Oth diab with severe nonp rtnop without macular edema, l eye | I | Can lead a claim |
| E133493 | Oth diab with severe nonp rtnop without macular edema, bi | I | Can lead a claim |
| E133499 | Oth diab with severe nonp rtnop without macular edema, unsp | None | Cannot lead a claim |
| E133511 | Oth diab with prolif diab rtnop with macular edema, r eye | I | Can lead a claim |
| E133512 | Oth diab with prolif diab rtnop with macular edema, left eye | I | Can lead a claim |
| E133513 | Oth diab with prolif diabetic rtnop with macular edema, bi | I | Can lead a claim |
| E133519 | Oth diab with prolif diabetic rtnop with macular edema, unsp | None | Cannot lead a claim |
| E133521 | Oth diab w prolif diab rtnop with trctn dtch macula, r eye | I | Can lead a claim |
| E133522 | Oth diab w prolif diab rtnop with trctn dtch macula, l eye | I | Can lead a claim |
| E133523 | Oth diab with prolif diab rtnop with trctn dtch macula, bi | I | Can lead a claim |
| E133529 | Oth diab with prolif diab rtnop with trctn dtch macula, unsp | None | Cannot lead a claim |
| E133531 | Oth diab w prolif diab rtnop with trctn dtch n-mcla, r eye | I | Can lead a claim |
| E133532 | Oth diab w prolif diab rtnop with trctn dtch n-mcla, l eye | I | Can lead a claim |
| E133533 | Oth diab with prolif diab rtnop with trctn dtch n-mcla, bi | I | Can lead a claim |
| E133539 | Oth diab with prolif diab rtnop with trctn dtch n-mcla, unsp | None | Cannot lead a claim |
| E133541 | Oth diab with prolif diabetic rtnop with comb detach, r eye | I | Can lead a claim |
| E133542 | Oth diab with prolif diab rtnop with comb detach, left eye | I | Can lead a claim |
| E133543 | Oth diabetes with prolif diabetic rtnop with comb detach, bi | I | Can lead a claim |
| E133549 | Oth diab with prolif diabetic rtnop with comb detach, unsp | None | Cannot lead a claim |
| E133551 | Oth diabetes with stable prolif diabetic rtnop, right eye | I | Can lead a claim |
| E133552 | Oth diabetes with stable prolif diabetic rtnop, left eye | I | Can lead a claim |
| E133553 | Oth diabetes with stable prolif diabetic rtnop, bilateral | I | Can lead a claim |
| E133559 | Oth diabetes with stable prolif diabetic retinopathy, unsp | None | Cannot lead a claim |
| E133591 | Oth diab with prolif diab rtnop without macular edema, r eye | I | Can lead a claim |
| E133592 | Oth diab with prolif diab rtnop without macular edema, l eye | I | Can lead a claim |
| E133593 | Oth diab with prolif diab rtnop without macular edema, bi | I | Can lead a claim |
| E133599 | Oth diab with prolif diab rtnop without macular edema, unsp | None | Cannot lead a claim |
| E1336 | Other specified diabetes mellitus with diabetic cataract | I | Can lead a claim |
| E1337X1 | Oth diab with diab macular edema, resolved fol trtmt, r eye | I | Can lead a claim |
| E1337X2 | Oth diab with diab macular edema, resolved fol trtmt, l eye | I | Can lead a claim |
| E1337X3 | Oth diab with diabetic macular edema, resolved fol trtmt, bi | I | Can lead a claim |
| E1337X9 | Oth diab with diab macular edema, resolved fol trtmt, unsp | None | Cannot lead a claim |
| E1339 | Oth diabetes mellitus w oth diabetic ophthalmic complication | I | Can lead a claim |
| E1340 | Oth diabetes mellitus with diabetic neuropathy, unspecified | None | Cannot lead a claim |
| E1341 | Oth diabetes mellitus with diabetic mononeuropathy | I | Can lead a claim |
| E1342 | Oth diabetes mellitus with diabetic polyneuropathy | I | Can lead a claim |
| E1343 | Oth diabetes mellitus w diabetic autonomic (poly)neuropathy | I | Can lead a claim |
| E1344 | Other specified diabetes mellitus with diabetic amyotrophy | I | Can lead a claim |
| E1349 | Oth diabetes w oth diabetic neurological complication | I | Can lead a claim |
| E1351 | Oth diabetes w diabetic peripheral angiopathy w/o gangrene | I | Can lead a claim |
| E1352 | Oth diabetes w diabetic peripheral angiopathy w gangrene | C | Can lead a claim |
| E1359 | Oth diabetes mellitus with other circulatory complications | I | Can lead a claim |
| E13610 | Oth diabetes mellitus with diabetic neuropathic arthropathy | I | Can lead a claim |
| E13618 | Oth diabetes mellitus with other diabetic arthropathy | I | Can lead a claim |
| E13620 | Other specified diabetes mellitus with diabetic dermatitis | I | Can lead a claim |
| E13621 | Other specified diabetes mellitus with foot ulcer | C | Can lead a claim |
| E13622 | Other specified diabetes mellitus with other skin ulcer | C | Can lead a claim |
| E13628 | Oth diabetes mellitus with other skin complications | C | Can lead a claim |
| E13630 | Other specified diabetes mellitus with periodontal disease | I | Can lead a claim |
| E13638 | Oth diabetes mellitus with other oral complications | I | Can lead a claim |
| E13641 | Oth diabetes mellitus with hypoglycemia with coma | I | Can lead a claim |
| E13649 | Oth diabetes mellitus with hypoglycemia without coma | I | Can lead a claim |
| E1365 | Other specified diabetes mellitus with hyperglycemia | I | Can lead a claim |
| E1369 | Oth diabetes mellitus with other specified complication | I | Can lead a claim |
| E138 | Oth diabetes mellitus with unspecified complications | None | Cannot lead a claim |
| E139 | Other specified diabetes mellitus without complications | A | Can lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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