Diab with prolif diabetic rtnop with macular edema, r eye

This code signifies diabetes mellitus that has developed as a consequence of another underlying medical condition, rather than being type 1 or type 2 diabetes. Specifically, it indicates the presence of proliferative diabetic retinopathy, a severe form of retinal damage, affecting the right eye, and further complicated by macular edema, which is swelling in the central part of the retina.

Use this code when documentation clearly states that the patient's diabetes is secondary to another condition (e.g., cystic fibrosis, pancreatectomy, drug-induced) and they present with proliferative diabetic retinopathy with macular edema in the right eye. Supporting documentation should include ophthalmology reports detailing the specific retinal findings and the laterality.

• Always sequence the underlying condition causing the diabetes first, followed by this code.
• Ensure the documentation specifies "proliferative" retinopathy and "macular edema" in the "right eye" to use this precise code.
• Distinguish carefully from non-proliferative retinopathy or diabetic macular edema without proliferative changes.