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 v07.1.26.

OASIS-E2 v1.00.0 · ingested 2026-04-26

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.

Every code in E08-E13

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
E0800Diab d/t undrl cond w hyprosm w/o nonket hyprgly-hypros comaNoneCannot group
E0801Diabetes due to underlying condition w hyprosm w comaNoneCannot group
E0810Diabetes due to underlying condition w ketoacidosis w/o comaNoneCannot group
E0811Diabetes due to underlying condition w ketoacidosis w comaNoneCannot group
E0821Diabetes due to underlying condition w diabetic nephropathyNoneCannot group
E0822Diabetes due to undrl cond w diabetic chronic kidney diseaseNoneCannot group
E0829Diabetes due to undrl condition w oth diabetic kidney compNoneCannot group
E08311Diab due to undrl cond w unsp diabetic rtnop w macular edemaNoneCannot group
E08319Diab due to undrl cond w unsp diab rtnop w/o macular edemaNoneCannot group
E083211Diabetes with mild nonp rtnop with macular edema, right eyeNoneCannot group
E083212Diabetes with mild nonp rtnop with macular edema, left eyeNoneCannot group
E083213Diabetes with mild nonp rtnop with macular edema, bilateralNoneCannot group
E083219Diabetes with mild nonp rtnop with macular edema, unspNoneCannot group
E083291Diabetes with mild nonp rtnop without macular edema, r eyeNoneCannot group
E083292Diab with mild nonp rtnop without macular edema, left eyeNoneCannot group
E083293Diabetes with mild nonp rtnop without macular edema, biNoneCannot group
E083299Diabetes with mild nonp rtnop without macular edema, unspNoneCannot group
E083311Diabetes with moderate nonp rtnop with macular edema, r eyeNoneCannot group
E083312Diab with moderate nonp rtnop with macular edema, left eyeNoneCannot group
E083313Diabetes with moderate nonp rtnop with macular edema, biNoneCannot group
E083319Diabetes with moderate nonp rtnop with macular edema, unspNoneCannot group
E083391Diab with moderate nonp rtnop without macular edema, r eyeNoneCannot group
E083392Diab with moderate nonp rtnop without macular edema, l eyeNoneCannot group
E083393Diabetes with moderate nonp rtnop without macular edema, biNoneCannot group
E083399Diab with moderate nonp rtnop without macular edema, unspNoneCannot group
E083411Diabetes with severe nonp rtnop with macular edema, r eyeNoneCannot group
E083412Diabetes with severe nonp rtnop with macular edema, left eyeNoneCannot group
E083413Diabetes with severe nonp rtnop with macular edema, biNoneCannot group
E083419Diabetes with severe nonp rtnop with macular edema, unspNoneCannot group
E083491Diabetes with severe nonp rtnop without macular edema, r eyeNoneCannot group
E083492Diab with severe nonp rtnop without macular edema, left eyeNoneCannot group
E083493Diabetes with severe nonp rtnop without macular edema, biNoneCannot group
E083499Diabetes with severe nonp rtnop without macular edema, unspNoneCannot group
E083511Diab with prolif diabetic rtnop with macular edema, r eyeNoneCannot group
E083512Diab with prolif diabetic rtnop with macular edema, left eyeNoneCannot group
E083513Diabetes with prolif diabetic rtnop with macular edema, biNoneCannot group
E083519Diabetes with prolif diabetic rtnop with macular edema, unspNoneCannot group
E083521Diab with prolif diab rtnop with trctn dtch macula, r eyeNoneCannot group
E083522Diab with prolif diab rtnop with trctn dtch macula, left eyeNoneCannot group
E083523Diab with prolif diabetic rtnop with trctn dtch macula, biNoneCannot group
E083529Diab with prolif diabetic rtnop with trctn dtch macula, unspNoneCannot group
E083531Diab with prolif diab rtnop with trctn dtch n-mcla, r eyeNoneCannot group
E083532Diab with prolif diab rtnop with trctn dtch n-mcla, left eyeNoneCannot group
E083533Diab with prolif diabetic rtnop with trctn dtch n-mcla, biNoneCannot group
E083539Diab with prolif diabetic rtnop with trctn dtch n-mcla, unspNoneCannot group
E083541Diabetes with prolif diabetic rtnop with comb detach, r eyeNoneCannot group
E083542Diab with prolif diabetic rtnop with comb detach, left eyeNoneCannot group
E083543Diabetes with prolif diabetic rtnop with combined detach, biNoneCannot group
E083549Diabetes with prolif diabetic rtnop with comb detach, unspNoneCannot group
E083551Diabetes with stable prolif diabetic retinopathy, right eyeNoneCannot group
E083552Diabetes with stable prolif diabetic retinopathy, left eyeNoneCannot group
E083553Diabetes with stable prolif diabetic retinopathy, bilateralNoneCannot group
E083559Diabetes with stable prolif diabetic retinopathy, unspNoneCannot group
E083591Diab with prolif diabetic rtnop without macular edema, r eyeNoneCannot group
E083592Diab with prolif diab rtnop without macular edema, left eyeNoneCannot group
E083593Diab with prolif diabetic rtnop without macular edema, biNoneCannot group
E083599Diab with prolif diabetic rtnop without macular edema, unspNoneCannot group
E0836Diabetes due to underlying condition w diabetic cataractNoneCannot group
E0837X1Diab with diabetic macular edema, resolved fol trtmt, r eyeNoneCannot group
E0837X2Diab with diab macular edema, resolved fol trtmt, left eyeNoneCannot group
E0837X3Diabetes with diabetic macular edema, resolved fol trtmt, biNoneCannot group
E0837X9Diab with diabetic macular edema, resolved fol trtmt, unspNoneCannot group
E0839Diabetes due to undrl condition w oth diabetic opth compNoneCannot group
E0840Diabetes due to underlying condition w diabetic neurop, unspNoneCannot group
E0841Diabetes due to undrl condition w diabetic mononeuropathyNoneCannot group
E0842Diabetes due to underlying condition w diabetic polyneuropNoneCannot group
E0843Diab due to undrl cond w diabetic autonm (poly)neuropathyNoneCannot group
E0844Diabetes due to underlying condition w diabetic amyotrophyNoneCannot group
E0849Diabetes due to undrl condition w oth diabetic neuro compNoneCannot group
E0851Diab due to undrl cond w diab prph angiopath w/o gangreneNoneCannot group
E0852Diab due to undrl cond w diabetic prph angiopath w gangreneNoneCannot group
E0859Diabetes due to underlying condition w oth circulatory compNoneCannot group
E08610Diabetes due to undrl cond w diabetic neuropathic arthropNoneCannot group
E08618Diabetes due to underlying condition w oth diabetic arthropNoneCannot group
E08620Diabetes due to underlying condition w diabetic dermatitisNoneCannot group
E08621Diabetes mellitus due to underlying condition w foot ulcerNoneCannot group
E08622Diabetes due to underlying condition w oth skin ulcerNoneCannot group
E08628Diabetes due to underlying condition w oth skin compNoneCannot group
E08630Diabetes due to underlying condition w periodontal diseaseNoneCannot group
E08638Diabetes due to underlying condition w oth oral compNoneCannot group
E08641Diabetes due to underlying condition w hypoglycemia w comaNoneCannot group
E08649Diabetes due to underlying condition w hypoglycemia w/o comaNoneCannot group
E0865Diabetes due to underlying condition w hyperglycemiaNoneCannot group
E0869Diabetes due to underlying condition w oth complicationNoneCannot group
E088Diabetes due to underlying condition w unsp complicationsNoneCannot group
E089Diabetes due to underlying condition w/o complicationsNoneCannot group
E0900Drug/chem diab w hyprosm w/o nonket hyprgly-hypros comaIAccepted
E0901Drug/chem diabetes mellitus w hyperosmolarity w comaIAccepted
E0910Drug/chem diabetes mellitus w ketoacidosis w/o comaIAccepted
E0911Drug/chem diabetes mellitus w ketoacidosis w comaIAccepted
E0921Drug/chem diabetes mellitus w diabetic nephropathyIAccepted
E0922Drug/chem diabetes w diabetic chronic kidney diseaseIAccepted
E0929Drug/chem diabetes w oth diabetic kidney complicationIAccepted
E09311Drug/chem diabetes w unsp diabetic rtnop w macular edemaIAccepted
E09319Drug/chem diabetes w unsp diabetic rtnop w/o macular edemaIAccepted
E093211Drug/chem diab with mild nonp rtnop with mclr edema, r eyeIAccepted
E093212Drug/chem diab with mild nonp rtnop with mclr edema, l eyeIAccepted
E093213Drug/chem diab with mild nonp rtnop with macular edema, biIAccepted
E093219Drug/chem diab with mild nonp rtnop with macular edema, unspIAccepted
E093291Drug/chem diab with mild nonp rtnop w/o mclr edema, r eyeIAccepted
E093292Drug/chem diab with mild nonp rtnop w/o mclr edema, l eyeIAccepted
E093293Drug/chem diab with mild nonp rtnop without mclr edema, biIAccepted
E093299Drug/chem diab with mild nonp rtnop without mclr edema, unspIAccepted
E093311Drug/chem diab with mod nonp rtnop with macular edema, r eyeIAccepted
E093312Drug/chem diab with mod nonp rtnop with macular edema, l eyeIAccepted
E093313Drug/chem diab with mod nonp rtnop with macular edema, biIAccepted
E093319Drug/chem diab with mod nonp rtnop with macular edema, unspIAccepted
E093391Drug/chem diab with mod nonp rtnop without mclr edema, r eyeIAccepted
E093392Drug/chem diab with mod nonp rtnop without mclr edema, l eyeIAccepted
E093393Drug/chem diab with mod nonp rtnop without macular edema, biIAccepted
E093399Drug/chem diab with mod nonp rtnop without mclr edema, unspIAccepted
E093411Drug/chem diab with severe nonp rtnop with mclr edema, r eyeIAccepted
E093412Drug/chem diab with severe nonp rtnop with mclr edema, l eyeIAccepted
E093413Drug/chem diab with severe nonp rtnop with macular edema, biIAccepted
E093419Drug/chem diab with severe nonp rtnop with mclr edema, unspIAccepted
E093491Drug/chem diab with severe nonp rtnop w/o mclr edema, r eyeIAccepted
E093492Drug/chem diab with severe nonp rtnop w/o mclr edema, l eyeIAccepted
E093493Drug/chem diab with severe nonp rtnop without mclr edema, biIAccepted
E093499Drug/chem diab with severe nonp rtnop w/o mclr edema, unspIAccepted
E093511Drug/chem diab with prolif diab rtnop with mclr edema, r eyeIAccepted
E093512Drug/chem diab with prolif diab rtnop with mclr edema, l eyeIAccepted
E093513Drug/chem diab with prolif diab rtnop with macular edema, biIAccepted
E093519Drug/chem diab with prolif diab rtnop with mclr edema, unspIAccepted
E093521Drug/chem diab w prolif diab rtnop w trctn dtch macula,r eyeIAccepted
E093522Drug/chem diab w prolif diab rtnop w trctn dtch macula,l eyeIAccepted
E093523Drug/chem diab w prolif diab rtnop w trctn dtch macula, biIAccepted
E093529Drug/chem diab w prolif diab rtnop w trctn dtch macula, unspIAccepted
E093531Drug/chem diab w prolif diab rtnop w trctn dtch n-mcla,r eyeIAccepted
E093532Drug/chem diab w prolif diab rtnop w trctn dtch n-mcla,l eyeIAccepted
E093533Drug/chem diab w prolif diab rtnop w trctn dtch n-mcla, biIAccepted
E093539Drug/chem diab w prolif diab rtnop w trctn dtch n-mcla, unspIAccepted
E093541Drug/chem diab w prolif diab rtnop with comb detach, r eyeIAccepted
E093542Drug/chem diab w prolif diab rtnop with comb detach, l eyeIAccepted
E093543Drug/chem diab with prolif diab rtnop with comb detach, biIAccepted
E093549Drug/chem diab with prolif diab rtnop with comb detach, unspIAccepted
E093551Drug/chem diabetes with stable prolif diabetic rtnop, r eyeIAccepted
E093552Drug/chem diab with stable prolif diabetic rtnop, left eyeIAccepted
E093553Drug/chem diabetes with stable prolif diabetic rtnop, biIAccepted
E093559Drug/chem diabetes with stable prolif diabetic rtnop, unspIAccepted
E093591Drug/chem diab with prolif diab rtnop w/o mclr edema, r eyeIAccepted
E093592Drug/chem diab with prolif diab rtnop w/o mclr edema, l eyeIAccepted
E093593Drug/chem diab with prolif diab rtnop without mclr edema, biIAccepted
E093599Drug/chem diab with prolif diab rtnop w/o mclr edema, unspIAccepted
E0936Drug/chem diabetes mellitus w diabetic cataractIAccepted
E0937X1Drug/chem diab w diab mclr edma, resolved fol trtmt, r eyeIAccepted
E0937X2Drug/chem diab w diab mclr edma, resolved fol trtmt, l eyeIAccepted
E0937X3Drug/chem diab with diab mclr edema, resolved fol trtmt, biIAccepted
E0937X9Drug/chem diab with diab mclr edma, resolved fol trtmt, unspIAccepted
E0939Drug/chem diabetes w oth diabetic ophthalmic complicationIAccepted
E0940Drug/chem diabetes w neuro comp w diabetic neuropathy, unspIAccepted
E0941Drug/chem diabetes w neuro comp w diabetic mononeuropathyIAccepted
E0942Drug/chem diabetes w neurological comp w diabetic polyneuropIAccepted
E0943Drug/chem diab w neuro comp w diab autonm (poly)neuropathyIAccepted
E0944Drug/chem diabetes w neurological comp w diabetic amyotrophyIAccepted
E0949Drug/chem diabetes w neuro comp w oth diabetic neuro compIAccepted
E0951Drug/chem diabetes w diabetic prph angiopath w/o gangreneIAccepted
E0952Drug/chem diabetes w diabetic prph angiopath w gangreneCAccepted
E0959Drug/chem diabetes mellitus w oth circulatory complicationsIAccepted
E09610Drug/chem diabetes w diabetic neuropathic arthropathyIAccepted
E09618Drug/chem diabetes mellitus w oth diabetic arthropathyIAccepted
E09620Drug/chem diabetes mellitus w diabetic dermatitisIAccepted
E09621Drug or chemical induced diabetes mellitus with foot ulcerCAccepted
E09622Drug or chemical induced diabetes mellitus w oth skin ulcerCAccepted
E09628Drug/chem diabetes mellitus w oth skin complicationsIAccepted
E09630Drug/chem diabetes mellitus w periodontal diseaseIAccepted
E09638Drug/chem diabetes mellitus w oth oral complicationsIAccepted
E09641Drug/chem diabetes mellitus w hypoglycemia w comaIAccepted
E09649Drug/chem diabetes mellitus w hypoglycemia w/o comaIAccepted
E0965Drug or chemical induced diabetes mellitus w hyperglycemiaIAccepted
E0969Drug/chem diabetes mellitus w oth complicationIAccepted
E098Drug/chem diabetes mellitus w unsp complicationsNoneCannot group
E099Drug or chemical induced diabetes mellitus w/o complicationsIAccepted
E1010Type 1 diabetes mellitus with ketoacidosis without comaIAccepted
E1011Type 1 diabetes mellitus with ketoacidosis with comaIAccepted
E1021Type 1 diabetes mellitus with diabetic nephropathyIAccepted
E1022Type 1 diabetes mellitus w diabetic chronic kidney diseaseIAccepted
E1029Type 1 diabetes mellitus w oth diabetic kidney complicationIAccepted
E10311Type 1 diabetes w unsp diabetic retinopathy w macular edemaIAccepted
E10319Type 1 diabetes w unsp diabetic rtnop w/o macular edemaIAccepted
E103211Type 1 diab with mild nonp rtnop with macular edema, r eyeIAccepted
E103212Type 1 diab with mild nonp rtnop with macular edema, l eyeIAccepted
E103213Type 1 diabetes with mild nonp rtnop with macular edema, biIAccepted
E103219Type 1 diab with mild nonp rtnop with macular edema, unspNoneCannot group
E103291Type 1 diab with mild nonp rtnop without mclr edema, r eyeIAccepted
E103292Type 1 diab with mild nonp rtnop without mclr edema, l eyeIAccepted
E103293Type 1 diab with mild nonp rtnop without macular edema, biIAccepted
E103299Type 1 diab with mild nonp rtnop without macular edema, unspNoneCannot group
E103311Type 1 diab with mod nonp rtnop with macular edema, r eyeIAccepted
E103312Type 1 diab with mod nonp rtnop with macular edema, l eyeIAccepted
E103313Type 1 diab with moderate nonp rtnop with macular edema, biIAccepted
E103319Type 1 diab with mod nonp rtnop with macular edema, unspNoneCannot group
E103391Type 1 diab with mod nonp rtnop without macular edema, r eyeIAccepted
E103392Type 1 diab with mod nonp rtnop without macular edema, l eyeIAccepted
E103393Type 1 diab with mod nonp rtnop without macular edema, biIAccepted
E103399Type 1 diab with mod nonp rtnop without macular edema, unspNoneCannot group
E103411Type 1 diab with severe nonp rtnop with macular edema, r eyeIAccepted
E103412Type 1 diab with severe nonp rtnop with macular edema, l eyeIAccepted
E103413Type 1 diab with severe nonp rtnop with macular edema, biIAccepted
E103419Type 1 diab with severe nonp rtnop with macular edema, unspNoneCannot group
E103491Type 1 diab with severe nonp rtnop without mclr edema, r eyeIAccepted
E103492Type 1 diab with severe nonp rtnop without mclr edema, l eyeIAccepted
E103493Type 1 diab with severe nonp rtnop without macular edema, biIAccepted
E103499Type 1 diab with severe nonp rtnop without mclr edema, unspNoneCannot group
E103511Type 1 diab with prolif diab rtnop with macular edema, r eyeIAccepted
E103512Type 1 diab with prolif diab rtnop with macular edema, l eyeIAccepted
E103513Type 1 diab with prolif diab rtnop with macular edema, biIAccepted
E103519Type 1 diab with prolif diab rtnop with macular edema, unspNoneCannot group
E103521Type 1 diab w prolif diab rtnop w trctn dtch macula, r eyeIAccepted
E103522Type 1 diab w prolif diab rtnop w trctn dtch macula, l eyeIAccepted
E103523Type 1 diab w prolif diab rtnop with trctn dtch macula, biIAccepted
E103529Type 1 diab w prolif diab rtnop with trctn dtch macula, unspNoneCannot group
E103531Type 1 diab w prolif diab rtnop w trctn dtch n-mcla, r eyeIAccepted
E103532Type 1 diab w prolif diab rtnop w trctn dtch n-mcla, l eyeIAccepted
E103533Type 1 diab w prolif diab rtnop with trctn dtch n-mcla, biIAccepted
E103539Type 1 diab w prolif diab rtnop with trctn dtch n-mcla, unspNoneCannot group
E103541Type 1 diab with prolif diab rtnop with comb detach, r eyeIAccepted
E103542Type 1 diab with prolif diab rtnop with comb detach, l eyeIAccepted
E103543Type 1 diab with prolif diabetic rtnop with comb detach, biIAccepted
E103549Type 1 diab with prolif diab rtnop with comb detach, unspNoneCannot group
E103551Type 1 diabetes with stable prolif diabetic rtnop, right eyeIAccepted
E103552Type 1 diabetes with stable prolif diabetic rtnop, left eyeIAccepted
E103553Type 1 diabetes with stable prolif diabetic rtnop, bilateralIAccepted
E103559Type 1 diabetes with stable prolif diabetic rtnop, unspNoneCannot group
E103591Type 1 diab with prolif diab rtnop without mclr edema, r eyeIAccepted
E103592Type 1 diab with prolif diab rtnop without mclr edema, l eyeIAccepted
E103593Type 1 diab with prolif diab rtnop without macular edema, biIAccepted
E103599Type 1 diab with prolif diab rtnop without mclr edema, unspNoneCannot group
E1036Type 1 diabetes mellitus with diabetic cataractIAccepted
E1037X1Type 1 diab with diab mclr edema, resolved fol trtmt, r eyeIAccepted
E1037X2Type 1 diab with diab mclr edema, resolved fol trtmt, l eyeIAccepted
E1037X3Type 1 diab with diab macular edema, resolved fol trtmt, biIAccepted
E1037X9Type 1 diab with diab mclr edema, resolved fol trtmt, unspNoneCannot group
E1039Type 1 diabetes w oth diabetic ophthalmic complicationIAccepted
E1040Type 1 diabetes mellitus with diabetic neuropathy, unspIAccepted
E1041Type 1 diabetes mellitus with diabetic mononeuropathyIAccepted
E1042Type 1 diabetes mellitus with diabetic polyneuropathyIAccepted
E1043Type 1 diabetes w diabetic autonomic (poly)neuropathyIAccepted
E1044Type 1 diabetes mellitus with diabetic amyotrophyIAccepted
E1049Type 1 diabetes w oth diabetic neurological complicationBAccepted
E1051Type 1 diabetes w diabetic peripheral angiopath w/o gangreneIAccepted
E1052Type 1 diabetes w diabetic peripheral angiopathy w gangreneCAccepted
E1059Type 1 diabetes mellitus with oth circulatory complicationsIAccepted
E10610Type 1 diabetes mellitus w diabetic neuropathic arthropathyIAccepted
E10618Type 1 diabetes mellitus with other diabetic arthropathyIAccepted
E10620Type 1 diabetes mellitus with diabetic dermatitisIAccepted
E10621Type 1 diabetes mellitus with foot ulcerCAccepted
E10622Type 1 diabetes mellitus with other skin ulcerCAccepted
E10628Type 1 diabetes mellitus with other skin complicationsCAccepted
E10630Type 1 diabetes mellitus with periodontal diseaseIAccepted
E10638Type 1 diabetes mellitus with other oral complicationsIAccepted
E10641Type 1 diabetes mellitus with hypoglycemia with comaIAccepted
E10649Type 1 diabetes mellitus with hypoglycemia without comaIAccepted
E1065Type 1 diabetes mellitus with hyperglycemiaIAccepted
E1069Type 1 diabetes mellitus with other specified complicationIAccepted
E108Type 1 diabetes mellitus with unspecified complicationsNoneCannot group
E109Type 1 diabetes mellitus without complicationsAAccepted
E10A0Type 1 diabetes mellitus, presymptomatic, unspecifiedAAccepted
E10A1Type 1 diabetes mellitus, presymptomatic, Stage 1AAccepted
E10A2Type 1 diabetes mellitus, presymptomatic, Stage 2AAccepted
E1100Type 2 diab w hyprosm w/o nonket hyprgly-hypros coma (NKHHC)IAccepted
E1101Type 2 diabetes mellitus with hyperosmolarity with comaIAccepted
E1110Type 2 diabetes mellitus with ketoacidosis without comaIAccepted
E1111Type 2 diabetes mellitus with ketoacidosis with comaIAccepted
E1121Type 2 diabetes mellitus with diabetic nephropathyIAccepted
E1122Type 2 diabetes mellitus w diabetic chronic kidney diseaseIAccepted
E1129Type 2 diabetes mellitus w oth diabetic kidney complicationIAccepted
E11311Type 2 diabetes w unsp diabetic retinopathy w macular edemaIAccepted
E11319Type 2 diabetes w unsp diabetic rtnop w/o macular edemaIAccepted
E113211Type 2 diab with mild nonp rtnop with macular edema, r eyeIAccepted
E113212Type 2 diab with mild nonp rtnop with macular edema, l eyeIAccepted
E113213Type 2 diabetes with mild nonp rtnop with macular edema, biIAccepted
E113219Type 2 diab with mild nonp rtnop with macular edema, unspNoneCannot group
E113291Type 2 diab with mild nonp rtnop without mclr edema, r eyeIAccepted
E113292Type 2 diab with mild nonp rtnop without mclr edema, l eyeIAccepted
E113293Type 2 diab with mild nonp rtnop without macular edema, biIAccepted
E113299Type 2 diab with mild nonp rtnop without macular edema, unspNoneCannot group
E113311Type 2 diab with mod nonp rtnop with macular edema, r eyeIAccepted
E113312Type 2 diab with mod nonp rtnop with macular edema, l eyeIAccepted
E113313Type 2 diab with moderate nonp rtnop with macular edema, biIAccepted
E113319Type 2 diab with mod nonp rtnop with macular edema, unspNoneCannot group
E113391Type 2 diab with mod nonp rtnop without macular edema, r eyeIAccepted
E113392Type 2 diab with mod nonp rtnop without macular edema, l eyeIAccepted
E113393Type 2 diab with mod nonp rtnop without macular edema, biIAccepted
E113399Type 2 diab with mod nonp rtnop without macular edema, unspNoneCannot group
E113411Type 2 diab with severe nonp rtnop with macular edema, r eyeIAccepted
E113412Type 2 diab with severe nonp rtnop with macular edema, l eyeIAccepted
E113413Type 2 diab with severe nonp rtnop with macular edema, biIAccepted
E113419Type 2 diab with severe nonp rtnop with macular edema, unspNoneCannot group
E113491Type 2 diab with severe nonp rtnop without mclr edema, r eyeIAccepted
E113492Type 2 diab with severe nonp rtnop without mclr edema, l eyeIAccepted
E113493Type 2 diab with severe nonp rtnop without macular edema, biIAccepted
E113499Type 2 diab with severe nonp rtnop without mclr edema, unspNoneCannot group
E113511Type 2 diab with prolif diab rtnop with macular edema, r eyeIAccepted
E113512Type 2 diab with prolif diab rtnop with macular edema, l eyeIAccepted
E113513Type 2 diab with prolif diab rtnop with macular edema, biIAccepted
E113519Type 2 diab with prolif diab rtnop with macular edema, unspNoneCannot group
E113521Type 2 diab w prolif diab rtnop w trctn dtch macula, r eyeIAccepted
E113522Type 2 diab w prolif diab rtnop w trctn dtch macula, l eyeIAccepted
E113523Type 2 diab w prolif diab rtnop with trctn dtch macula, biIAccepted
E113529Type 2 diab w prolif diab rtnop with trctn dtch macula, unspNoneCannot group
E113531Type 2 diab w prolif diab rtnop w trctn dtch n-mcla, r eyeIAccepted
E113532Type 2 diab w prolif diab rtnop w trctn dtch n-mcla, l eyeIAccepted
E113533Type 2 diab w prolif diab rtnop with trctn dtch n-mcla, biIAccepted
E113539Type 2 diab w prolif diab rtnop with trctn dtch n-mcla, unspNoneCannot group
E113541Type 2 diab with prolif diab rtnop with comb detach, r eyeIAccepted
E113542Type 2 diab with prolif diab rtnop with comb detach, l eyeIAccepted
E113543Type 2 diab with prolif diabetic rtnop with comb detach, biIAccepted
E113549Type 2 diab with prolif diab rtnop with comb detach, unspNoneCannot group
E113551Type 2 diabetes with stable prolif diabetic rtnop, right eyeIAccepted
E113552Type 2 diabetes with stable prolif diabetic rtnop, left eyeIAccepted
E113553Type 2 diabetes with stable prolif diabetic rtnop, bilateralIAccepted
E113559Type 2 diabetes with stable prolif diabetic rtnop, unspNoneCannot group
E113591Type 2 diab with prolif diab rtnop without mclr edema, r eyeIAccepted
E113592Type 2 diab with prolif diab rtnop without mclr edema, l eyeIAccepted
E113593Type 2 diab with prolif diab rtnop without macular edema, biIAccepted
E113599Type 2 diab with prolif diab rtnop without mclr edema, unspNoneCannot group
E1136Type 2 diabetes mellitus with diabetic cataractIAccepted
E1137X1Type 2 diab with diab mclr edema, resolved fol trtmt, r eyeIAccepted
E1137X2Type 2 diab with diab mclr edema, resolved fol trtmt, l eyeIAccepted
E1137X3Type 2 diab with diab macular edema, resolved fol trtmt, biIAccepted
E1137X9Type 2 diab with diab mclr edema, resolved fol trtmt, unspNoneCannot group
E1139Type 2 diabetes w oth diabetic ophthalmic complicationIAccepted
E1140Type 2 diabetes mellitus with diabetic neuropathy, unspIAccepted
E1141Type 2 diabetes mellitus with diabetic mononeuropathyIAccepted
E1142Type 2 diabetes mellitus with diabetic polyneuropathyIAccepted
E1143Type 2 diabetes w diabetic autonomic (poly)neuropathyIAccepted
E1144Type 2 diabetes mellitus with diabetic amyotrophyIAccepted
E1149Type 2 diabetes w oth diabetic neurological complicationBAccepted
E1151Type 2 diabetes w diabetic peripheral angiopath w/o gangreneIAccepted
E1152Type 2 diabetes w diabetic peripheral angiopathy w gangreneCAccepted
E1159Type 2 diabetes mellitus with oth circulatory complicationsIAccepted
E11610Type 2 diabetes mellitus w diabetic neuropathic arthropathyIAccepted
E11618Type 2 diabetes mellitus with other diabetic arthropathyIAccepted
E11620Type 2 diabetes mellitus with diabetic dermatitisIAccepted
E11621Type 2 diabetes mellitus with foot ulcerCAccepted
E11622Type 2 diabetes mellitus with other skin ulcerCAccepted
E11628Type 2 diabetes mellitus with other skin complicationsCAccepted
E11630Type 2 diabetes mellitus with periodontal diseaseIAccepted
E11638Type 2 diabetes mellitus with other oral complicationsIAccepted
E11641Type 2 diabetes mellitus with hypoglycemia with comaIAccepted
E11649Type 2 diabetes mellitus with hypoglycemia without comaIAccepted
E1165Type 2 diabetes mellitus with hyperglycemiaIAccepted
E1169Type 2 diabetes mellitus with other specified complicationIAccepted
E118Type 2 diabetes mellitus with unspecified complicationsNoneCannot group
E119Type 2 diabetes mellitus without complicationsIAccepted
E11AType 2 diabetes mellitus without complications in remissionIAccepted
E1300Oth diab w hyprosm w/o nonket hyprgly-hypros coma (NKHHC)IAccepted
E1301Oth diabetes mellitus with hyperosmolarity with comaIAccepted
E1310Oth diabetes mellitus with ketoacidosis without comaIAccepted
E1311Oth diabetes mellitus with ketoacidosis with comaIAccepted
E1321Other specified diabetes mellitus with diabetic nephropathyIAccepted
E1322Oth diabetes mellitus with diabetic chronic kidney diseaseIAccepted
E1329Oth diabetes mellitus with oth diabetic kidney complicationIAccepted
E13311Oth diabetes w unsp diabetic retinopathy w macular edemaIAccepted
E13319Oth diabetes w unsp diabetic retinopathy w/o macular edemaIAccepted
E133211Oth diabetes with mild nonp rtnop with macular edema, r eyeIAccepted
E133212Oth diab with mild nonp rtnop with macular edema, left eyeIAccepted
E133213Oth diabetes with mild nonp rtnop with macular edema, biIAccepted
E133219Oth diabetes with mild nonp rtnop with macular edema, unspNoneCannot group
E133291Oth diab with mild nonp rtnop without macular edema, r eyeIAccepted
E133292Oth diab with mild nonp rtnop without macular edema, l eyeIAccepted
E133293Oth diabetes with mild nonp rtnop without macular edema, biIAccepted
E133299Oth diab with mild nonp rtnop without macular edema, unspNoneCannot group
E133311Oth diab with moderate nonp rtnop with macular edema, r eyeIAccepted
E133312Oth diab with moderate nonp rtnop with macular edema, l eyeIAccepted
E133313Oth diabetes with moderate nonp rtnop with macular edema, biIAccepted
E133319Oth diab with moderate nonp rtnop with macular edema, unspNoneCannot group
E133391Oth diab with mod nonp rtnop without macular edema, r eyeIAccepted
E133392Oth diab with mod nonp rtnop without macular edema, l eyeIAccepted
E133393Oth diab with moderate nonp rtnop without macular edema, biIAccepted
E133399Oth diab with mod nonp rtnop without macular edema, unspNoneCannot group
E133411Oth diab with severe nonp rtnop with macular edema, r eyeIAccepted
E133412Oth diab with severe nonp rtnop with macular edema, left eyeIAccepted
E133413Oth diabetes with severe nonp rtnop with macular edema, biIAccepted
E133419Oth diabetes with severe nonp rtnop with macular edema, unspNoneCannot group
E133491Oth diab with severe nonp rtnop without macular edema, r eyeIAccepted
E133492Oth diab with severe nonp rtnop without macular edema, l eyeIAccepted
E133493Oth diab with severe nonp rtnop without macular edema, biIAccepted
E133499Oth diab with severe nonp rtnop without macular edema, unspNoneCannot group
E133511Oth diab with prolif diab rtnop with macular edema, r eyeIAccepted
E133512Oth diab with prolif diab rtnop with macular edema, left eyeIAccepted
E133513Oth diab with prolif diabetic rtnop with macular edema, biIAccepted
E133519Oth diab with prolif diabetic rtnop with macular edema, unspNoneCannot group
E133521Oth diab w prolif diab rtnop with trctn dtch macula, r eyeIAccepted
E133522Oth diab w prolif diab rtnop with trctn dtch macula, l eyeIAccepted
E133523Oth diab with prolif diab rtnop with trctn dtch macula, biIAccepted
E133529Oth diab with prolif diab rtnop with trctn dtch macula, unspNoneCannot group
E133531Oth diab w prolif diab rtnop with trctn dtch n-mcla, r eyeIAccepted
E133532Oth diab w prolif diab rtnop with trctn dtch n-mcla, l eyeIAccepted
E133533Oth diab with prolif diab rtnop with trctn dtch n-mcla, biIAccepted
E133539Oth diab with prolif diab rtnop with trctn dtch n-mcla, unspNoneCannot group
E133541Oth diab with prolif diabetic rtnop with comb detach, r eyeIAccepted
E133542Oth diab with prolif diab rtnop with comb detach, left eyeIAccepted
E133543Oth diabetes with prolif diabetic rtnop with comb detach, biIAccepted
E133549Oth diab with prolif diabetic rtnop with comb detach, unspNoneCannot group
E133551Oth diabetes with stable prolif diabetic rtnop, right eyeIAccepted
E133552Oth diabetes with stable prolif diabetic rtnop, left eyeIAccepted
E133553Oth diabetes with stable prolif diabetic rtnop, bilateralIAccepted
E133559Oth diabetes with stable prolif diabetic retinopathy, unspNoneCannot group
E133591Oth diab with prolif diab rtnop without macular edema, r eyeIAccepted
E133592Oth diab with prolif diab rtnop without macular edema, l eyeIAccepted
E133593Oth diab with prolif diab rtnop without macular edema, biIAccepted
E133599Oth diab with prolif diab rtnop without macular edema, unspNoneCannot group
E1336Other specified diabetes mellitus with diabetic cataractIAccepted
E1337X1Oth diab with diab macular edema, resolved fol trtmt, r eyeIAccepted
E1337X2Oth diab with diab macular edema, resolved fol trtmt, l eyeIAccepted
E1337X3Oth diab with diabetic macular edema, resolved fol trtmt, biIAccepted
E1337X9Oth diab with diab macular edema, resolved fol trtmt, unspNoneCannot group
E1339Oth diabetes mellitus w oth diabetic ophthalmic complicationIAccepted
E1340Oth diabetes mellitus with diabetic neuropathy, unspecifiedNoneCannot group
E1341Oth diabetes mellitus with diabetic mononeuropathyIAccepted
E1342Oth diabetes mellitus with diabetic polyneuropathyIAccepted
E1343Oth diabetes mellitus w diabetic autonomic (poly)neuropathyIAccepted
E1344Other specified diabetes mellitus with diabetic amyotrophyIAccepted
E1349Oth diabetes w oth diabetic neurological complicationIAccepted
E1351Oth diabetes w diabetic peripheral angiopathy w/o gangreneIAccepted
E1352Oth diabetes w diabetic peripheral angiopathy w gangreneCAccepted
E1359Oth diabetes mellitus with other circulatory complicationsIAccepted
E13610Oth diabetes mellitus with diabetic neuropathic arthropathyIAccepted
E13618Oth diabetes mellitus with other diabetic arthropathyIAccepted
E13620Other specified diabetes mellitus with diabetic dermatitisIAccepted
E13621Other specified diabetes mellitus with foot ulcerCAccepted
E13622Other specified diabetes mellitus with other skin ulcerCAccepted
E13628Oth diabetes mellitus with other skin complicationsCAccepted
E13630Other specified diabetes mellitus with periodontal diseaseIAccepted
E13638Oth diabetes mellitus with other oral complicationsIAccepted
E13641Oth diabetes mellitus with hypoglycemia with comaIAccepted
E13649Oth diabetes mellitus with hypoglycemia without comaIAccepted
E1365Other specified diabetes mellitus with hyperglycemiaIAccepted
E1369Oth diabetes mellitus with other specified complicationIAccepted
E138Oth diabetes mellitus with unspecified complicationsNoneCannot group
E139Other specified diabetes mellitus without complicationsAAccepted

Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. 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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