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E08.37 ICD-10-CM Code: Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Code Overview

Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment is a non-billable ICD-10-CM category code (E08.37). A more specific billable subcode must be selected for claims submission.

Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for E08.37 in the official ICD-10-CM tabular list.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Code First

Underlying conditions that must be sequenced before this code.

  • the underlying condition, such as: inherited from E08
  • congenital rubella (P35.0) inherited from E08
  • Cushing's syndrome (E24.-) inherited from E08
  • cystic fibrosis (E84.-) inherited from E08
  • malignant neoplasm (C00-C96) inherited from E08
  • malnutrition (E40-E46) inherited from E08
  • pancreatitis and other diseases of the pancreas (K85-K86.-) inherited from E08

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code to identify control using: inherited from E08
  • injectable non-insulin antidiabetic drugs (Z79.85) inherited from E08
  • insulin (Z79.4) inherited from E08
  • oral antidiabetic drugs (Z79.84) inherited from E08
  • oral hypoglycemic drugs (Z79.84) inherited from E08

Indexed Clinical Terms (1)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

  • Diabetes, diabetic (mellitus) (sugar), due to underlying condition, with, retinopathy, resolved following treatment

Frequently Compared Codes

The official Excludes notes on E08.37 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment
    FY2017 changes

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

Other codes that name E08.37 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 23 Excludes1 notes across 8 chapters: E09 (via E08.-), E10 (via E08.-), E11 (via E08.-), E13 (via E08.-), E74 (via E08.-), G54.5 (via E08.-), G59 (via E08.-), G63 (via E08.-), G99.0 (via E08.-), H20.0 (via E08.-), H36 (via E08.3.-), I73.8 (via E08.-), I79.8 (via E08.-), L92.1 (via E08.-), L99 (via E08.-), M14 (via E08.-), M14.6 (via E08.-), M90 (via E08.-), N08 (via E08.-), N16 (via E08.-), +3 more.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 2 Excludes2 notes across 2 chapters: I96 (via E08.-), R11.15 (via E08.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 1 Code First instruction: D84.81 (via E08.-).

These codes instruct coders to sequence this condition first when it applies.

Referenced by 1 Code Also instruction: N76.82 (via E08.-).

These codes suggest coding this condition alongside when both are present.

Contextual Map

Every relationship of E08.37 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • E00-E89 — Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E89) (E00-E89) [Hierarchy]
  • E08-E13 — Diabetes mellitus [Hierarchy]

Referenced by Excludes1 notes (23)

  • E09 — Drug or chemical induced diabetes mellitus [Excludes1](via E08.-): “diabetes mellitus due to underlying condition (E08.-)” · check together
  • E10 — Type 1 diabetes mellitus [Excludes1](via E08.-): “diabetes mellitus due to underlying condition (E08.-)” · check together
  • E11 — Type 2 diabetes mellitus [Excludes1](via E08.-): “diabetes mellitus due to underlying condition (E08.-)” · check together
  • E13 — Other specified diabetes mellitus [Excludes1](via E08.-): “diabetes mellitus due to underlying condition (E08.-)” · check together
  • E74 — Other disorders of carbohydrate metabolism [Excludes1](via E08.-): “diabetes mellitus (E08-E13)” · check together
  • G54.5 — Neuralgic amyotrophy [Excludes1](via E08.-): “neuralgic amyotrophy in diabetes mellitus (E08-E13 with .44)” · check together
  • G59 — Mononeuropathy in diseases classified elsewhere [Excludes1](via E08.-): “diabetic mononeuropathy (E08-E13 with .41)” · check together
  • G63 — Polyneuropathy in diseases classified elsewhere [Excludes1](via E08.-): “diabetes mellitus (E08-E13 with .42)” · check together
  • and 15 more

Referenced by Excludes2 notes

  • I96 — Gangrene, not elsewhere classified [Excludes2](via E08.-): “gangrene in diabetes mellitus (E08-E13 with .52)” · check together
  • R11.15 — Cyclical vomiting syndrome unrelated to migraine [Excludes2](via E08.-): “diabetes mellitus due to underlying condition (E08.-)” · check together

Referenced by Code First instructions

  • D84.81 — Immunodeficiency due to conditions classified elsewhere [Code First](via E08.-): “diabetes mellitus (E08-E13)” · check together

Referenced by Code Also instructions

  • N76.82 — Fournier disease of vagina and vulva [Code Also](via E08.-): “, if applicable, diabetes mellitus (E08-E13 with .9)” · check together

Index entries

  • Diabetes, diabetic (mellitus) (sugar), due to underlying condition, with, retinopathy, resolved following treatment[Index term]

Nearest codes (40)

  • E08 — Diabetes mellitus due to underlying condition [Sibling]
  • E08.3531 — Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye [Sibling]
  • E08.3532 — Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye [Sibling]
  • E08.3533 — Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral [Sibling]
  • E08.3539 — Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye [Sibling]
  • E08.354 — Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment [Sibling]
  • E08.3541 — Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye [Sibling]
  • E08.3542 — Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye [Sibling]
  • and 32 more

Change history

  • FY2017 — Added to the code set [Change history]

Frequently Asked Questions (FAQ) & Clinical Guidance

Can E08.37 be billed directly?

No. E08.37 (Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does E08.37 require a 7th character?

Yes. 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.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to E08.37 in its code family, with their registry titles.

  • E08.3591 — Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, right eye
  • E08.3592 — Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, left eye
  • E08.3593 — Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, bilateral
  • E08.3599 — Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, unspecified eye
  • E08.36 — Diabetes mellitus due to underlying condition with diabetic cataract
  • E08.37X1 — Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, right eye
  • E08.37X2 — Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, left eye
  • E08.37X3 — Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, bilateral
  • E08.37X9 — Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, unspecified eye
  • E08.39 — Diabetes mellitus due to underlying condition with other diabetic ophthalmic complication

View all codes in the E08 family