ICD-10-CM Billable Code

E11.37

Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment

Clinical Classification Guidelines

7th Character Definition

One of the following 7th characters is to be assigned to code E11.37 to designate laterality of the disease:

Medical Intelligence & Overview

ICD-10 code E11.37 pertains to cases of Type 2 diabetes mellitus that have been complicated by diabetic macular edema, which has subsequently resolved following treatment. Diabetes mellitus is a chronic condition affecting how the body processes blood sugar (glucose). When people with Type 2 diabetes develop eye complications such as diabetic macular edema, it can threaten vision. Fortunately, with appropriate treatment, the condition may improve or resolve. This guide explains what this diagnosis involves, its causes, symptoms, methods of diagnosis, and treatment options.

Causes & Symptoms

Clinical Causes: Prolonged high blood sugar levels damage small blood vessels in the retina, leading to diabetic macular edema. Poor control of blood glucose over time increases the risk of developing eye complications. High blood pressure and high cholesterol can exacerbate blood vessel damage, increasing risk. Duration of diabetes: The longer a person has diabetes, the higher the likelihood of eye-related complications. Genetic factors may also influence an individual’s susceptibility to diabetic eye problems.

Key Symptoms: Blurred or distorted vision Dark or blocked areas in the visual field Colors appearing faded or washed out Difficulty reading or seeing fine details Sudden vision changes in some cases, though often patients experience gradual worsening

Diagnostic & Treatment

Diagnosis Path: - Fluorescein angiography, where a dye is injected into the bloodstream to highlight blood vessels in the retina, revealing leaks or abnormalities contributing to edema.

Treatment Protocols: - Regular eye screenings to monitor for early signs of recurrence and other complications.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is E11.37 a billable ICD-10 code?
Yes, E11.37 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report E11.37?
Clinical documentation must specify the nature of Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment and any associated comorbidities for accurate reporting.

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Clinical Meta Tags

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