ICD 10 CM E13.311 | Description & Clinical Information
ICD 10 E13.311 describes a medical condition characterized by insufficient production or utilization of insulin, resulting in elevated levels of blood glucose and subsequent development of diabetic retinopathy with macular edema, where the provider documents diabetes mellitus not represented by another code but does not specify the type of diabetic retinopathy with macular edema.
Official Description Of E13.311
The ICD 10 CM book defines ICD 10 code E13.311 as:
Includes: diabetes mellitus due to genetic defects of beta-cell function
diabetes mellitus due to genetic defects in insulin action
postpancreatectomy diabetes mellitus
postprocedural diabetes mellitus
secondary diabetes mellitus NEC
Excludes1: diabetes (mellitus) due to autoimmune process (E10.-)
diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction (E10.-)
diabetes mellitus due to underlying condition (E08.-)
drug or chemical induced diabetes mellitus (E09.-)
gestational diabetes (O24.4-)
neonatal diabetes mellitus (P70.2)
type 1 diabetes mellitus (E10.-)
Use additional code to identify control using:
insulin (Z79.4)
oral antidiabetic drugs (Z79.84)
oral hypoglycemic drugs (Z79.84)
When To Use E13.311
The diagnosis describes by the ICD 10 CM E13.311 code accounts for one of the complications of diabetes known as diabetic retinopathy. This condition affects the retina, the part of the eye responsible for capturing images and sending them to the brain to process. Diabetic retinopathy is a severe complication of diabetes that can lead to blindness, and it results from damage to the blood vessels that supply the retina with nutrients.
One of the challenging outcomes of diabetic retinopathy that can occur is macular edema. Macular edema refers to the accumulation of fluid in the macula, a small part of the retina that provides the sharpest vision. When fluid accumulates in this area, it can lead to a blockage of blood vessels, impeding the proper transfer of oxygen and other nutrients from the blood to the retina.
Patients with other specified DM with unspecified diabetic retinopathy with macular edema may experience various symptoms. These symptoms may include pain in the eyes, blurred vision, and double vision. In severe cases, patients may even suffer from retina detachment, headache, glaucoma, dizziness, and even blindness.
In addition to eye-related symptoms, patients with diabetic retinopathy and macular edema can also suffer from general diabetic symptoms. These may include increased urinary frequency and thirst, extreme hunger, fatigue, weight loss, and frequent infections. However, it is important to note that other symptoms depend on the type and nature of the disease, which can include weakness, pain, difficulty breathing, loss of appetite, anemia, high blood pressure, and night sweats.
To diagnose this condition, providers typically rely on history, physical examination, and eye examination. Physicians may also conduct various laboratory tests, such as blood tests for fasting plasma glucose, lipid profile, and tests for urine and stool.
Treatment methods for diabetic retinopathy with macular edema will vary depending on the severity of the condition and other contributing factors. Patients may require medications to manage blood pressure or cholesterol, laser therapy to destroy abnormal blood vessels, or eye surgery such as vitrectomy or photocoagulation to reduce pressure or correct nerve damage. Furthermore, treatment for diabetes may involve non-insulin or insulin therapies, depending on the type of diabetes a patient has.
In conclusion, the ICD 10 CM E13.311 diagnostic code describes the complex complication of diabetic retinopathy with macular edema. This diagnosis can lead to a range of unpleasant symptoms, including those related to vision, the eyes, and general diabetic-related symptoms. With proper diagnosis and treatment, patients can manage their symptoms and reduce the risk of significant complications such as blindness.
