Full field electroretinogram (ERG) is used to detect loss of retinal function or distinguish between retinal and optic nerve lesions. Summary of Evidence. The required documentation listed below must be. 3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema,. S. It is the goal of these diagnostic imaging tests to discriminate among patients with normal intraocular pressures (IOP) who have glaucoma, patients with elevated IOP who have. Miscellaneous central nervous system agents . It is the leading cause of blindness in adults between 20-74 years of age. 3313 E10. At this time 21 st Century Cures Act will apply to new and revised LCDs that restrict coverage which requires comment and notice. There are multiple factors associated with cataract development. At this time 21st Century Cures Act will apply to new and revised LCDs that restrict coverage which requires comment and notice. Initial authorization will be for a period of 12 months. 3399 With severe nonproliferative retinopathy, with macular edema E11. . 3599, E11. 3413 bilateral2022 Clinical Quality Measure Flow for Quality ID #117 (NQF 0055): Diagnosis: measurement period:Global Edits to Measure Specifications: • Added Meaningful Measures Category in Titles • Updated Language for Information Regarding Non-Billable CodingE11. Short description: Type 2 diab with mod nonp rtnop without macular edema, bi. 9 D09. 3542: left eye E11. Include only procedures performed through November 30 of the reporting period. 2019 Clinical Quality Measure Flow Narrative for Quality ID #126 NQF #0417: Diabetes Mellitus: Diabetic Foot and Ankle Care Peripheral Neuropathy – Neurological Evaluation Please refer to the specific section of the specification to identify the denominator and numerator information for useICD10 CPT codes 84436 84439 84443 and or 84479 Thyroid Testing Code A18. 3110, h35. 9 and E11. ICD-10-CM Diagnosis Code E11. CMS Measure ID: #438 Collection Type: CQM, eCQM, MVP Reporting Frequency: Once per patient per year Outcome: No High Priority: No NQS Domain: Effective Clinical Care Measure Age: > 2 years Instructions. 11*, E85. 2 Search Page 1/1: E11. E08. Page 4 of 6 Kidney Health Evaluation for Patients With Diabetes (KED) HEDIS definition This measure evaluates members 18 to 85 years of age with diabetes (type 1 and type 2) whoEffective April 1, 2023 through June 30, 2023. E11. 3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema,. Diagnostic codes are the first step in the DRG mapping process. ICD-10-CM Code. E13. In 2012, diabetes cost the U. Percentage of patients 18-75 years of age with diabetes and an active diagnosis of retinopathy in any part of the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period or diabetics with no diagnosis of retinopathy in any part of the measurement period who had a retinal or. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. , measurement of the ability to see points of light at varying locations on a curved surface. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. ). The following code(s) above E11. 21* Type 2 diabetes mellitus with diabetic nephropathy E11. 331 Internal Medical Policy Committee 3-23-2022 Annual Review-no changes in criteria. 3312 e11. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. Under Associated Contractor Numbers added 11201, 11301, 11401, and 11501. 3393. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. No substantive changes were made to the active LCD. - QPP. 3133, h35. 9 D34 D35. 3492 E11. It is the leading cause of blindness in adults between 20-74 years of age. Chronic Kidney Disease (CKD) is a major driver of morbidity, mortality, and healthcare costs in the United States. Revised: 06. 2, or R11. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. 3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema,. This revision has a retroactive effective date of 2/26/2018. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. 3393 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Continuous Glucose Monitoring (CGM) Systems (also known as Real-Time or interstitial) monitor, measure, and record glucose levels in interstitial fluid and produce. com E11. E11. 3493 X E11. Significance and Use 5. 3511. 3591- E13. CGM systems consist of a sensor, transmitter and receiver. 3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema,. 3411 ☐E10. 3493 e11. Scanning computerized ophthalmic diagnostic imaging allows earlier detection of glaucoma and more sophisticated analysis for ongoing management. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. 1 result found: ICD-10-CM Diagnosis Code E11. 3393* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. The procedure is performed separately for each eye, and measures the combined function of the retina, the optic nerve, and the intracranial visual pathway. 3591, e11. R2. 3393 Diabetes with Severe NPDR with Macular Edema Type 2 Type 1 ☐ E11. 22* Type 2 diabetes mellitus with diabetic chronic kidney disease. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Measure Description. 3 D09. E11. Short description: Type 2 diab with mod nonp rtnop with macular edema, r eye The 2024 edition of ICD-10-CM E11. 3 C56. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. 3134, h35. Other Contractor Local Coverage Determinations. E13. E11. The supplier is responsible for ensuring that there is an appropriate. E11. Short description: Type 2 diab with mod nonp. an estimated $327 billion: $237 billion in direct medical costs and $90 billion in reduced productivity. 29 is a billable diagnosis code used to specify a medical diagnosis of type 2 diabetes mellitus with other diabetic kidney complication. Description. 9 D34 D35. 3419 With severe non-proliferative retinopathy, without macular edema E11. 3412 E11. Routine foot care - Includes the treatment of corns, callouses, clavus, tyloma or tylomata, plantar keratosis, hyperkeratosis and keratotic lesions, bunions (except capsular or bone surgery thereof), and nails (except surgery for ingrown nails and/or debridement of symptomatic, hypertrophic nails). Proliferative Diabetic Retinopathy Other) The following codes are effective beginning October 1, 2016. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. Coverage Indications, Limitations, and/or Medical Necessity. Instructions. 89 C79. an estimated $245 billion: $176 billion in direct medical costs and $69 billion in reduced productivity. 10 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 3313 X E11. History/Background and/or General Information. Under Group 1: Codes added ICD-10 codes E11. 2019 MIPS Quality Measures for Claims Based Reporting or 2026F or 3072F * or G9714 7 standard field stereoscopic photos with interpretation (documented and reviewed)E11. The following services are considered to be components of routine foot care, regardless of the provider rendering the service: Cutting or removal of corns and calluses; Clipping, trimming, or debridement of nails, including debridement of mycotic nails; Shaving, paring, cutting or removal of keratoma, tyloma, and heloma;E11. Subscribe to Codify by AAPC and get the code details in a flash. 3391 - E11. 3313 bilateral E11. E11. Internal Medical Policy Committee 7-21-2022 Coding update - Effective September 05, 2022. 3412 E11. 3393 - Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral The above description is abbreviated. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. E11. 15. 3391 E11. 3411 - E11. Without macular edema and other specified diabetes. The sleeve gastrectomy (SG) is a surgical procedure performed in either an open or laparoscopic manner. . DRG Mapping Rules for E11. For electronic claims, Loop/Element 2400 SV101-7 must be completed for Not Otherwise Classified (NOC) codes. 3313 became effective on October 1, 2023. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. Pancreas transplant alone may be considered medically necessary in individuals with severely disabling and potentially life-threatening complications due to hypoglycemia unawareness and labile insulin-dependent diabetes that persists despite optimal medical management. The surgery involves excision of the lateral aspect of the stomach, leaving a much reduced, tubular stomach. This article is being revised in order to adhere to CMS requirements per chapter 13, section 13. Short description: Type 2 diab with mod nonp. S. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. 1 C56. Added procedure code J0470 Added diagnosis codes F84. 10 - R11. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema right eye E11. 3593, E13. 3411 Type 2 diabetes mellitus with. E11. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. Diabetic retinopathy is progressive damage to the small blood vessels in the retina that may result in loss of vision. 3412 Type 2 diabetes mellitus with severe non-proliferative diabetic retinopathy with macular edema, left. 41, E11. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. 3392 e10. 3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema,. Patients age 66 and older in Institutional Special Needs Plans (SNP) or residing in long-term care with a POS code 32, 33, 34, 54 or 56 for more than 90. This measure is to be submitted once per measurement period for patients seen during the measurement period. Hemoglobin A1c (HbA1c) refers to the major component of hemoglobin A1. Performance Not Met: Most recent hemoglobin A1c. Payment may be made for only one pump for administering the medications; and. Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)In 2017, diabetes cost the U. 3559, e11. It means "not coded here". Short description: Type 2 diab with moderate nonp rtnop with macular edema, bi The 2024 edition of ICD-10-CM E11. Initial authorization will be for a period of 12 months. Quality ID #117 (NQF 0055): Diabetes: Eye Exam - Healthmonix. Coverage Indications, Limitations, and/or Medical Necessity. 3311 E11. Ambulatory infusion pump is an electrical or battery operated device, which is used to deliver solutions containing a parenteral drug under pressure at a regulated flow rate. E11. 3311 - E11. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. All rights reserved. DilatedThis site works best if viewed with the latest version of Internet Explorer, Firefox, Chrome, or Safari browsers. 3413 e10. 3519. A type 1 excludes note indicates that the code excluded should never be used at the same time as E11. Hypertension complicating pregnancy, childbirth, and the puerperium. E11. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. 3319 With moderate nonproliferative retinopathy, without macular edema E11. In 2017, diabetes cost the U. 3511 e10. Diabetes outpatient self-management and training service is a program which educates individuals in self-monitoring of blood glucose, diet, exercise, and insulin management. 0% and less than 8. The following code(s) above E11. 2This LCD supplements but does not replace, modify or supersede existing Medicare applicable National Coverage Determinations (NCDs) or payment policy rules and regulations for Routine Foot Care. Limited proprietary coding is contained in the measure specifications for convenience. 3121, h35. 3393 bilateral E11. 2022 MIPS Measure #127: Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention – Evaluation of FootwearAppend a modifier (1P or 2P) to CPT Category II code 5010F to report documented circumstances that appropriately exclude patients from the denominator. 3411 ☐ E11. The most recent. 321, E09. This measure may be submitted by Merit-based Incentive Payment System (MIPS) eligible clinicians who perform the quality actions described in the measure based on the services provided and the. 3519. 331,E11. November 2020 Page 1 of 11. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. Scanning computerized ophthalmic diagnostic imaging (SCODI) allows for early detection of glaucomatous damage to the nerve fiber layer or optic nerve of the eye. an estimated $327 billion: $237 billion in direct medical costs and $90 billion in reduced productivity. g. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. 3532 e10. 3393. 3412* Ranibizumab (Lucentis) may be considered medically necessary for the treatment of individuals with ANY ONE of the following conditions: Diabetic macular edema (DME); or. There are multiple factors associated with cataract development. 3412 left eye E11. Under Associated Contractor Numbers added 11201, 11301, 11401, and 11501. E11. 3393* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. 2019 Quality Measures 3 Diabetes: Eye Exam Eyefinity EHR Instructions Performance Met Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist E11. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. 3312 ☐ E11. The supplier is responsible for ensuring that there is an appropriate. Unlisted codes A4641, A9698, A9699, J1599, J3490, J3590, J7199, J9999, J7999, Q2039, and Q4100 billed to the Part B MAC are priced manually. Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12. 10 - R11. 3393 Type 2 diabetes mellitus with moderate non-proliferative diabetic retinopathy without macular edema, bilateral; E11. Clinicians who indicate modifier 55, postoperative management. The procedure is performed separately for each eye, and measures the combined function of the retina, the optic nerve, and the intracranial visual pathway. 3393 e11. E11. Cataract development occurs in 60% of adults 65 years of age or greater. 99504, 99509, e0100, e0105, e0130, e0135, e0140, e0141, e0143, e0144, e0147, e0148, e0149, e0163, e0165, e0167, e0168, e0170, e0171, e0250, e0251, e0255, e0256, e0260. 3513 e10. E13. 3293 became effective on October 1, 2023. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. ICD-10 code E11. Existing ICD-9-CM algorithms were compiled and evaluated by the study authors for the following 10 clinical conditions: acute myocardial infarction (AMI), cardiac arrhythmia, chronic kidney disease (CKD), congestive heart failure (CHF), diabetes, diabetic. E11. 3391 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema right eye E11. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. Coverage Indications, Limitations, and/or Medical Necessity. What Does the B3933 Code Mean? The air temperature sensors are a 2-wire negative temperature coefficient thermistor. 3411 Type 2 diabetes mellitus with severe. Quality ID #19 (NQF 0089): Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care – National Quality Strategy Domain: Communication and Care Coordination – Meaningful Measure Area: Transfer of Health Information and Interoperability 2019 COLLECTION TYPE: MIPS CLINICAL QUALITY MEASURES (CQMS)E11. 49 [convert to ICD-9-CM] Type 2 diabetes mellitus with other diabetic neurological complication. 22, H44. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. The Part A Ophthalmology: Extended Ophthalmoscopy and Fundus Photography LCD L34571 is being retired effective 02/19/2016 as this LCD is being incorporated into LCD L33467. 89. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. Scanning computerized ophthalmic diagnostic imaging allows earlier detection of glaucoma and more sophisticated analysis for ongoing management. • Updated Rationale and Clinical Recommendation Statements • Added Denominator Coding, CPT: 99211, 99386, 99387, 99396, 99397 Quality ID #117: Diabetes: Eye ExamStart Patients aged ≥ 18 years on date of encounter Diagnosis for diabetes as listed in Denominator* Patient encounter during the performanceE0787. E11. 3522 e10. 37X2, E11. The surgery involves excision of the lateral aspect of the stomach, leaving a much reduced, tubular stomach. 3391 ☐E10. 1. E11. Performance Met: Hemoglobin A1c level was not performed during the measurement period (12 months) (3046F with 8P) OR. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. 3492 e11. 3399 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye. 3313 is a billable diagnosis code used to specify a medical diagnosis of type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral. 3393 is a valid billable ICD-10 diagnosis code for Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. 3512 e11. It is small, portable, and designed to be carried by the member. The . Type 2 diabetes mellitus with stable proliferative diabetic retinopathy. 3393 for bilateral; Use E11. 3393 X E11. 33 - other international versions of ICD-10 E11. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. 3491 e10. Significant Ocular Condition Corresponding ICD-10-CM Codes . 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. Currently, CGM system sensors can be used three (3)-90 days before. (CDC Fact Sheet 2014). Please note the clinical documentation must clearly show that. 0, R11. These non-covered services should be counted in thecare professional managing the ongoing care of the patient with diabetes (5010F . 3412 E11. It is used clinically to detect or monitor field loss due to disease at any of these locations. 3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema,. Article Text. 81, E85. 3120, h35. Currently, CGM system sensors can be used three (3)-90 days before replacement. 331 Internal Medical Policy Committee 3-23-2022 Annual Review-no changes in criteria. ICD-10 code E11. E11. 3513. Performance Not Met: Most recent hemoglobin A1c (HbA1c) level < 7. A cataract is an opacity or cloudiness in the lens of the eye (s), blocking the passage of light through the lens, sometimes resulting in impaired vision. 3392 e11. 3313 E10. ICD-10-CM code E11. 3311 E11. Short description: Type 1 diab with mod nonp rtnop without macular edema, bi The 2024 edition of ICD-10-CM E10. 2007 PQRI SUMMARY. " A pale or swollen optic nerve documented by a recent examination. This is the American ICD-10-CM version of E11. 37X2. This. This measure is to be submitted a minimum of once per performance period for patients with a diagnosis of diabetes seen during the performance period. This is a 34 percent increase from the estimated $245 billion spent on diabetes in 2012E11. E13. Continuous Glucose Monitoring (CGM) Systems (also known as Real-Time or interstitial) monitor, measure, and record glucose levels in interstitial fluid and produce data that show trends in glucose measurements. Numerator Options: Performance Met: Lower extremity neurological exam performed and documented (G8404) OR Performance Not Met: Lower extremity neurological exam not performed (G8405) RATIONALE: Foot ulceration is the most common single precursor to lower extremity amputations among persons with diabetes. 3399 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without. 3413 X E11. E11. Denominator Exception: Documentation of patient reason(s) for not communicating the findings of the dilated macular or fundus exam to the physician or other qualified health care professional managing the ongoing care of theVersion 5. 3393 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, bilateral. Quality ID. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. Diagnosis Code: E11. Box 22492, Pittsburgh, PA 15222, Phone: 1-866-286-8295, TTY: 711, Fax: 412-544-2475, email. 3392 E10. 3411-E11. 3313 is a billable diagnosis code used to specify type 2 diab with moderate nonp rtnop with macular edema, bi. Glaucoma is a leading cause of blindness, and a disease for which treatment methods clearly are available and in common use. E08. 3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema,. 0% (3051F) OR. 3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema,. E11. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. 2 C56. reference drug program proton pump inhibitors (ppis) section 3 – diagnosis for requested medication gastroesophageal reflux disease (gerd), or reflux esophagitis, or duodenal. November 2022 Page 3 of 11. Formal visual field tests are generally performed using automated perimetry, i. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. It is the goal of these diagnostic imaging tests to discriminate among patients with normal intraocular pressures (IOP) who have glaucoma, patients with elevated IOP who have. The supplier is responsible for ensuring that there is an appropriate and acceptable contingency. 3412 Type 2 diabetes mellitus with severe non-proliferative diabetic retinopathy with macular edema, left. 23, H44. CMS Measure ID: #488 Collection Type: CQM Reporting Frequency: Once per patient per year Outcome: No High Priority: No NQS Domain: Effective Clinical Care Measure Age: New Instructions. E11. 3513 e11. 3411* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. Dextrose 50% X X X X Diltiazem HCI Cardizem Antianginal X X X X Edrophonium Tensilon Antidote X X X X Effective 10/1/2015 ICD-10 diagnosis codes G70. 3391 e10. Ambulatory infusion pump is an electrical or battery operated device, which is used to deliver solutions containing a parenteral drug under pressure at a regulated flow rate. 3313 DiabetesDiabetic Retinopathy with Moderate NPDR without Macular Edema Type 2 Type 1 ☐ E11. This is the American ICD-10-CM version of E11. RATIONALE: As the seventh leading cause of death in the U. Scanning computerized ophthalmic diagnostic imaging (SCODI) allows for early detection of glaucomatous damage to the nerve fiber layer or optic nerve of the eye. Shoe trauma, in concert with loss of protective sensation and concomitant foot deformity, is the leading eventScanning computerized ophthalmic diagnostic imaging (SCODI) allows for early detection of glaucomatous damage to the nerve fiber layer or optic nerve of the eye. Performance Not Met: Findings of dilated macular or fundus exam were notGlomerulonephritis, nephrotic syndrome, nephritis, renal failure, infections of kidney, calculus of kidney and ureter, and disorder of bladder. 3511 E11. Treatment of infected foot wounds accounts for up to one-quarter of all inpatient hospital admissions for people withE11. 339 contain annotation back-referencesMedical Policy Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, 1 an association of independent Blue Cross Blue Shield Plans. 10 may differ. E11. Memantine-Codes to identify Frailty: 99504, 99509. This measure is to be submitted a minimum of once per performance period for patients with diabetes mellitus seen during the performance period. +1 250-656-3393. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. S. Clinicians who indicate modifier 55, postoperative management. This measure may be submitted by Merit-based Incentive Payment System (MIPS) eligible clinicians who perform the quality actions described in the measure based on services provided and the. 311 is a billable diagnosis code used to specify a medical diagnosis of type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema. Remove: E09. 3391 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema right eye E11. E11. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. When performed laparoscopically, the term laparoscopic sleeve gastrectomy (LSG) is used. E11.