ICD-10 E10.311
Billable / SpecificType 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema
About ICD-10-CM E10.311
ICD-10-CM code E10.311 represents Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E10). The 2026 edition of ICD-10-CM E10.311 became effective on October 1, 2025.
Medicare LCD Coverage for E10.311
Local Coverage Determinations (LCDs) from CMS MACs that list E10.311 as a covered diagnosis.
Showing top 10 of 248 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing E10.311.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with E10.311
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 83735 CMS LCD: Billing and Coding: Magnesium CMS LCD
- J7313 CMS LCD: Billing and Coding: FDA approves Iluvien for Diabetic Macular Edema CMS LCD
- 01782 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
- 01999 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
- 01829 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
- 00400 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
- 01922 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
- 00731 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
- 00635 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
- 00322 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
Convert E10.311 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| E10.311 | 25051 | 10111 |
| E10.311 | 36201 | 10112 |
| E10.311 | 36207 | 10113 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To E10.311
Other codes in section E08-E13 (Diabetes mellitus).
ICD-10 E10.311, Billing FAQ
Is ICD-10 code E10.311 billable? +
Yes, E10.311 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What CPT codes are commonly billed with E10.311? +
Procedures frequently paired with E10.311 include: 83735, J7313, 01782, 01999, 01829.
What ICD-9 codes does E10.311 map to? +
Per CMS GEMs, E10.311 maps to ICD-9 codes: 25051, 36201, 36207. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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