E11.37
E11.37: Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment
Non-billable headerICD-10-CM
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
Excludes1 inherited from the categories above E11.37
A category’s note binds every code beneath it.
Written on E11: Type 2 diabetes mellitus
- diabetes mellitus due to underlying condition (E08.-)
- drug or chemical induced diabetes mellitus (E09.-)
- gestational diabetes (O24.4-)
- neonatal diabetes mellitus (P70.2)
- postpancreatectomy diabetes mellitus (E13.-)
- postprocedural diabetes mellitus (E13.-)
- secondary diabetes mellitus NEC (E13.-)
- type 1 diabetes mellitus (E10.-)
Other codes that can never be billed with E11.37
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Alphabetic index entries that lead here
- 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
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.
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
Other codes under E11.3
- 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