E11.37 — Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment
Is E11.37 billable?
No — E11.37 is a non-billable header code. E11.37 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 4 billable codes beneath E11.37.
Billable codes under this header
- 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
E11.37 at a glance
| Code | E11.37 |
|---|---|
| Description | Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is E11.37 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to E11.37. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Diabetes, diabetic › with › retinopathy › with macular edema › resolved following treatment (mellitus) (sugar)
- Diabetes, diabetic › type 2 › with › retinopathy › resolved following treatment (mellitus) (sugar)
Excludes1 — never code together — inherited from Chapter 4
The conditions below can never be reported together with E11.37 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- transitory endocrine and metabolic disorders specific to newborn (P70-P74)
Excludes1 — never code together — inherited from E11
The conditions below can never be reported together with E11.37 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- 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.-)
Use additional code — inherited from E11
Report an additional code alongside E11.37 to fully describe the condition. E11.37 is sequenced first.
What codes fall under E11.37? (4)
- 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
How long has E11.37 existed?
E11.37 first appears in FY2018 (FY2017 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the E11.3 family? (7)
- E11.31Type 2 diabetes mellitus with unspecified diabetic retinopathynot billable
- E11.32Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathynot billable
- E11.33Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathynot billable
- E11.34Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathynot billable
- E11.35Type 2 diabetes mellitus with proliferative diabetic retinopathynot billable
- E11.36Type 2 diabetes mellitus with diabetic cataract
- E11.39Type 2 diabetes mellitus with other diabetic ophthalmic complication