ICD-10-CM 2027 diagnosis code
E10.3522Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
E10.3522 is a valid, billable ICD-10-CM code for type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Type 1 diab w prolif diab rtnop w trctn dtch macula, l eye
Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About E10.3522
E10.3522 is the ICD-10-CM diagnosis code for type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye. It belongs to category E10 (type 1 diabetes mellitus), block E08-E13 (diabetes mellitus) and chapter 4 (endocrine, nutritional and metabolic diseases). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
The 7th character "2" means left eye.
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 008 (Simultaneous Pancreas, Islet Cell and Kidney Transplant, relative weight 5.5146), DRG 010 (Pancreas or Islet Cell Transplant, relative weight 7.5259), DRG 019 (Simultaneous Pancreas, Islet Cell and Kidney Transplant with Hemodialysis, relative weight 7.5493), DRG 124 (Other Disorders of the Eye with MCC or Thrombolytic Agent, relative weight 1.2471) and DRG 125 (Other Disorders of the Eye without MCC, relative weight 0.7702), in Pre-MDC and MDC 02 (Diseases and Disorders of the Eye), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It was added in FY2017, effective October 1, 2016.
Before ICD-10, this condition was coded in ICD-9-CM as 250.51 (diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled), 361.81 (traction detachment of retina) and 362.02 (proliferative diabetic retinopathy).
7th character
2left eye
Other encounter types for E10.352:
Notes that apply from higher levels
Instructions written at a parent level also apply to E10.3522.
› From E10 Type 1 diabetes mellitus
- brittle diabetes (mellitus)
- diabetes (mellitus) due to autoimmune process
- diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction
- idiopathic diabetes (mellitus)
- juvenile onset diabetes (mellitus)
- ketosis-prone diabetes (mellitus)
- diabetes mellitus due to underlying condition (E08.-)
- drug or chemical induced diabetes mellitus (E09.-)
- gestational diabetes (O24.4-)
- hyperglycemia NOS (R73.9)
- neonatal diabetes mellitus (P70.2)
- postpancreatectomy diabetes mellitus (E13.-)
- postprocedural diabetes mellitus (E13.-)
- secondary diabetes mellitus NEC (E13.-)
- type 2 diabetes mellitus (E11.-)
Broader instructions also apply from Chapter 4: Endocrine, nutritional and metabolic diseases.
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC PRE · Pre-MDC
MDC PRE · Pre-MDC
MDC PRE · Pre-MDC
MDC 02 · Diseases and Disorders of the Eye
ICD-9-CM equivalent
Converter →- 250.51Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolledapproximate, combination
- 361.81Traction detachment of retinaapproximate, combination
- 362.02Proliferative diabetic retinopathyapproximate, combination
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2017 (effective 10/1/2016): Added
- No changes since FY2017.
Common questions about E10.3522
Is E10.3522 billable?
- Yes. E10.3522 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
What does the "2" at the end of E10.3522 mean?
- It is the 7th character for left eye.
Can E10.3522 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict E10.3522 as a principal diagnosis.
Is E10.3522 a CC or MCC?
- No. E10.3522 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does E10.3522 group to?
- E10.3522 is used in the MS-DRG v44.0 logic for MS-DRG 008 (Simultaneous Pancreas, Islet Cell and Kidney Transplant), MS-DRG 010 (Pancreas or Islet Cell Transplant), MS-DRG 019 (Simultaneous Pancreas, Islet Cell and Kidney Transplant with Hemodialysis), MS-DRG 124 (Other Disorders of the Eye with MCC or Thrombolytic Agent) and MS-DRG 125 (Other Disorders of the Eye without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for E10.3522?
- The CMS General Equivalence Mappings map E10.3522 to ICD-9-CM 250.51, 361.81 and 362.02.