Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema bilateral icd 10

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E11351 - ICD 10 Diagnosis Code - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians
What is proliferative diabetic retinopathy with macular edema?
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E11351

E11351 - ICD 10 Diagnosis Code - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians

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ICD Code	Description
E113511	Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
E113512	Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
E113513	Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
E113519	Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye

Hospitalizations with E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema - as a primary or secondary diagnosis code

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*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

Top DRGs Associated With E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

	DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)	DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)	DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)	DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)	DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG	1,808,415
Total Hospitalizations with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	39
DRG Share of Total Hospitalizations	5.5
% of Total ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema in DRG	2.29
Avg LOS at DRG	6.34
Avg LOS with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	5.82
Readmission Rate at DRG	24.2
Readmission Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA
Unplanned Readmission Rate at DRG	16.78
Unplanned Readmission Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA
Total Medicare payments at DRG	$21,288,214,047
Total Medicare payments with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$472,140
Total Medicare payment per Day at DRG	$1,857
Total Medicare payment per Day with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$2,080
Total Medicare payment per Hospitalization at DRG	$11,772
Total Medicare payment per Hospitalization with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$12,106
Total Medicare Charges at DRG	$107,155,481,388
Total Medicare Charges with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$1,827,934
Avg Charges at DRG	$59,254
Avg Charges with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$46,870
Mortality Rate at DRG	12.11
Mortality Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA
SNF Discharge Rate at DRG	27.18
SNF Discharge Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA
Home Discharge Rate at DRG	25.81
Home Discharge Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	48.72

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

	DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC)	DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC)	DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)	DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)	DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG	434,264
Total Hospitalizations with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	19
DRG Share of Total Hospitalizations	1.32
% of Total ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema in DRG	1.12
Avg LOS at DRG	3.94
Avg LOS with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	4.26
Readmission Rate at DRG	22.76
Readmission Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA
Unplanned Readmission Rate at DRG	16.46
Unplanned Readmission Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA
Total Medicare payments at DRG	$2,472,138,198
Total Medicare payments with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$132,130
Total Medicare payment per Day at DRG	$1,444
Total Medicare payment per Day with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$1,631
Total Medicare payment per Hospitalization at DRG	$5,693
Total Medicare payment per Hospitalization with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$6,954
Total Medicare Charges at DRG	$12,478,361,060
Total Medicare Charges with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$470,447
Avg Charges at DRG	$28,735
Avg Charges with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$24,760
Mortality Rate at DRG	0.91
Mortality Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA
SNF Discharge Rate at DRG	22.02
SNF Discharge Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA
Home Discharge Rate at DRG	46.68
Home Discharge Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

	DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)	DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC)	DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)	DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS	DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG	38,029
Total Hospitalizations with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	13
DRG Share of Total Hospitalizations	0.12
% of Total ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema in DRG	0.76
Avg LOS at DRG	7.14
Avg LOS with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	8.0
Readmission Rate at DRG	23.6
Readmission Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA
Unplanned Readmission Rate at DRG	10.44
Unplanned Readmission Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA
Total Medicare payments at DRG	$484,755,193
Total Medicare payments with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$183,684
Total Medicare payment per Day at DRG	$1,786
Total Medicare payment per Day with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$1,766
Total Medicare payment per Hospitalization at DRG	$12,747
Total Medicare payment per Hospitalization with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$14,130
Total Medicare Charges at DRG	$2,463,395,263
Total Medicare Charges with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$750,790
Avg Charges at DRG	$64,777
Avg Charges with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$57,753
Mortality Rate at DRG	0.11
Mortality Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA
SNF Discharge Rate at DRG	26.57
SNF Discharge Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA
Home Discharge Rate at DRG	30.05
Home Discharge Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

	DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)	DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG	249,842
Total Hospitalizations with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	11
DRG Share of Total Hospitalizations	0.76
% of Total ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema in DRG	0.65
Avg LOS at DRG	6.05
Avg LOS with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	7.73
Readmission Rate at DRG	35.06
Readmission Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA
Unplanned Readmission Rate at DRG	11.16
Unplanned Readmission Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA
Total Medicare payments at DRG	$2,933,944,169
Total Medicare payments with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$106,558
Total Medicare payment per Day at DRG	$1,941
Total Medicare payment per Day with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$1,254
Total Medicare payment per Hospitalization at DRG	$11,743
Total Medicare payment per Hospitalization with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$9,687
Total Medicare Charges at DRG	$15,164,864,310
Total Medicare Charges with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$825,241
Avg Charges at DRG	$60,698
Avg Charges with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	$75,022
Mortality Rate at DRG	15.95
Mortality Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA
SNF Discharge Rate at DRG	27.24
SNF Discharge Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA
Home Discharge Rate at DRG	12.21
Home Discharge Rate with ICD E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema	NA

Top Hospitals Associated With E11351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema - as a primary or secondary diagnosis code

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What is proliferative diabetic retinopathy with macular edema?

This condition is called macular ischemia and it also results in blurry vision. Diabetic Macular Edema. Proliferative diabetic retinopathy is a more advanced condition where abnormal new blood vessels begin to grow within the retina to supply blood to areas where the original blood vessels have become closed.

What is ICD

2023 ICD-10-CM Diagnosis Code E11. 3551: Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye.

What is the ICD

ICD-10 code H35. 313 for Nonexudative age-related macular degeneration, bilateral is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa .