Is E09.37X1 a billable ICD-10-CM code?

Yes. E09.37X1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does E09.37X1 sit in the tabular list?

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

E09.37X1

E09.37X1 — Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, right eye

Billable / specific codeICD-10-CM

E09.37X1 is a billable, specific ICD-10-CM code for drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, right eye. It is valid for submission on a claim.

7th character "1" — right eye

One of the following 7th characters is to be assigned to code E09.37 to designate laterality of the disease:

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

Risk adjustment

E09.37X1 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.

Medicare coverage

E09.37X1 is named in 40 Medicare coverage policies — 39 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57069Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green)not covered
A52464Glucose Monitor - Policy Article
A52501Therapeutic Shoes for Persons with Diabetes - Policy Article
A52507External Infusion Pumps - Policy Article

Related codes at this level

Codes that share E09.37. If E09.37X1 is not quite right, the correct code is usually one of these.

Questions about E09.37X1

Is E09.37X1 a billable ICD-10-CM code?: Yes. E09.37X1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does E09.37X1 sit in the tabular list?: Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).