E08.37 — Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment
E08.37 is a non-billable header ICD-10-CM code for diabetes mellitus due to underlying condition 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 E08.37 to designate laterality of the disease:
- 1
- right eye
- 2
- left eye
- 3
- bilateral
- 9
- unspecified eye
Risk adjustment
E08.37 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 E08.37 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 E08.37.
- Diabetes, diabetic›due to underlying condition›with›retinopathy›resolved following treatment
Code to one of these instead E08.37
4 child codes. Green means billable.
- E08.37X1Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, right eye
- E08.37X2Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, left eye
- E08.37X3Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, bilateral
- E08.37X9Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, unspecified eye
Related codes at this level
Codes that share E08.3. If E08.37 is not quite right, the correct code is usually one of these.
- E08.31Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy
- E08.32Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy
- E08.33Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy
- E08.34Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy
- E08.35Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy
- E08.36Diabetes mellitus due to underlying condition with diabetic cataract
- E08.39Diabetes mellitus due to underlying condition with other diabetic ophthalmic complication
Questions about E08.37
- Is E08.37 a billable ICD-10-CM code?
- No. E08.37 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does E08.37 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).