ICDcodes.org
FY2027

E11.37X1Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye

Billable

Is E11.37X1 billable?

Yes — E11.37X1 is billable for FY2027. E11.37X1 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. E11.37X1 may be submitted for encounters from October 1, 2026 through September 30, 2027.

E11.37X1 at a glance

CodeE11.37X1
DescriptionType 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "1"right eye

What does the 7th character "1" mean in E11.37X1?

In E11.37X1, the 7th character 1 means right eye. The 7th character is required for E11.37X1 to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does E11.37X1 group to?

E11.37X1 sits in MDC Pre and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 008Simultaneous Pancreas, Islet Cell and Kidney Transplantsurgical

How is E11.37X1 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under E11.37, the nearest indexed parent of E11.37X1. Use them to find the family, then select the specific code.

  • Diabetes, diabeticwithretinopathywith macular edemaresolved following treatment (mellitus) (sugar)
  • Diabetes, diabetictype 2withretinopathyresolved following treatment (mellitus) (sugar)

Excludes1 — never code together — inherited from Chapter 4

The conditions below can never be reported together with E11.37X1 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 E11.37X1 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 E11.37X1 to fully describe the condition. E11.37X1 is sequenced first.

  • code to identify control using:
  • injectable non-insulin antidiabetic drugs (Z79.85)
  • insulin (Z79.4)
  • oral antidiabetic drugs (Z79.84)
  • oral hypoglycemic drugs (Z79.84)

How long has E11.37X1 existed?

E11.37X1 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.