Is E13.37 a billable ICD-10-CM code?

No. E13.37 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does E13.37 sit in the tabular list?

Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).

E13.37

E13.37 — Other specified diabetes mellitus with diabetic macular edema, resolved following treatment

Non-billable headerICD-10-CM

E13.37 is a non-billable header ICD-10-CM code for other specified 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 E13.37 to designate laterality of the disease:

1: right eye
2: left eye
3: bilateral
9: unspecified eye

Risk adjustment

E13.37 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 E13.37 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 E13.37.

Diabetes, diabetic›specified type NEC›with›retinopathy›resolved following treatment

Code to one of these instead E13.37

4 child codes. Green means billable.

Related codes at this level

Codes that share E13.3. If E13.37 is not quite right, the correct code is usually one of these.

Questions about E13.37

Is E13.37 a billable ICD-10-CM code?: No. E13.37 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does E13.37 sit in the tabular list?: Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).