Diab with moderate nonp rtnop without macular edema, r eye

This code signifies a patient diagnosed with diabetes mellitus that is a consequence of another underlying medical condition, not type 1 or type 2 diabetes. The patient presents with moderate nonproliferative diabetic retinopathy (NPDR) in the right eye, characterized by microaneurysms, hemorrhages, and hard exudates, but without any associated macular edema.

Use this code when documentation clearly states diabetes is secondary to another condition (e.g., cystic fibrosis, pancreatectomy, drug-induced) and the patient has moderate NPDR affecting only the right eye, with no mention of macular edema. Supporting documentation includes ophthalmology reports detailing the severity and laterality of retinopathy, and physician notes confirming the secondary nature of the diabetes.

• Always sequence the underlying condition causing the diabetes first, followed by this code.
• Confirm the specific type of diabetes (secondary vs. type 1/2) and the laterality of the retinopathy.
• Distinguish between mild, moderate, and severe NPDR, and ensure the absence of macular edema is documented for this specific code.