Diab with prolif diabetic rtnop with trctn dtch macula, unsp

This code describes diabetes that is secondary to another underlying disease or condition, rather than type 1 or type 2 diabetes. The patient has developed proliferative diabetic retinopathy, a severe complication characterized by new, abnormal blood vessel growth in the retina. This has further progressed to a traction retinal detachment, specifically affecting the macula, in an unspecified eye.

Use this code when documentation clearly states diabetes is secondary to an underlying condition (e.g., cystic fibrosis, pancreatectomy) and the patient presents with proliferative diabetic retinopathy complicated by macular-involving traction retinal detachment. Ensure the medical record specifies the underlying condition causing the diabetes. This code is appropriate when the affected eye is not specified.

• Always code the underlying condition causing the diabetes first.
• Distinguish between proliferative and nonproliferative diabetic retinopathy; this code is specific to proliferative.
• Confirm the traction retinal detachment involves the macula, as other codes exist for non-macular involvement.