Diab with prolif diab rtnop with trctn dtch n-mcla, r eye

This code signifies diabetes mellitus that is a direct consequence of another underlying medical condition, rather than type 1 or type 2 diabetes. The patient presents with advanced diabetic retinopathy, specifically proliferative changes, which have led to a traction retinal detachment in the right eye that does not involve the macula. This detachment is caused by fibrous tissue pulling on the retina.

Apply this code when documentation clearly states diabetes is secondary to another condition (e.g., pancreatitis, cystic fibrosis, drug-induced) and specifies proliferative diabetic retinopathy with a traction retinal detachment in the right eye, explicitly noting the macula is spared. Supporting documentation includes ophthalmology reports, physician notes detailing the etiology of diabetes, and imaging studies confirming the retinal detachment.

• Always sequence the underlying condition causing the diabetes first, followed by this code.
• Verify laterality (right eye) and ensure the macula is not involved; different codes exist for macular involvement or other eyes.
• Distinguish between proliferative and non-proliferative diabetic retinopathy, as well as the specific type of retinal detachment (tractional vs. rhegmatogenous).