E11.37 — Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment
E11.37 is a non-billable header ICD-10-CM code for type 2 diabetes mellitus with diabetic macular edema, resolved following treatment. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
One of the following 7th characters is to be assigned to code E11.37 to designate laterality of the disease:
- 1
- right eye
- 2
- left eye
- 3
- bilateral
- 9
- unspecified eye
Risk adjustment
E11.37 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
How E11.37 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to E11.37.
- Diabetes, diabetic›type 2›with›retinopathy›resolved following treatment
- Diabetes, diabetic›with›retinopathy›with macular edema›resolved following treatment
There’s a guided path to this code
Not sure E11.37 is the right one? Answer a few questions about what the chart documents and we’ll walk you to the code that follows from it.
Code to one of these instead E11.37
4 child codes. Green means billable.
- E11.37X1Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
- E11.37X2Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye
- E11.37X3Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
- E11.37X9Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
Related codes at this level
Codes that share E11.3. If E11.37 is not quite right, the correct code is usually one of these.
- E11.31Type 2 diabetes mellitus with unspecified diabetic retinopathy
- E11.32Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy
- E11.33Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy
- E11.34Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy
- E11.35Type 2 diabetes mellitus with proliferative diabetic retinopathy
- E11.36Type 2 diabetes mellitus with diabetic cataract
- E11.39Type 2 diabetes mellitus with other diabetic ophthalmic complication
Questions about E11.37
- Is E11.37 a billable ICD-10-CM code?
- No. E11.37 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does E11.37 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).