Diabetes with prolif diabetic rtnop with comb detach, unsp

This code signifies diabetes mellitus that is secondary to another underlying medical condition, specifically presenting with advanced diabetic eye disease. The retinopathy involves the growth of new, abnormal blood vessels (proliferative) and a complex retinal detachment in an unspecified eye, characterized by both pulling on the retina (tractional) and a tear in the retina (rhegmatogenous).

Use this code when documentation clearly indicates diabetes caused by another condition (e.g., cystic fibrosis, pancreatectomy) and the patient has severe diabetic retinopathy with a combined tractional and rhegmatogenous retinal detachment. This code is appropriate when the affected eye is not specified in the medical record.

• Ensure the documentation explicitly states "due to underlying condition" for the diabetes type, not Type 1 or Type 2.
• Verify the presence of both proliferative diabetic retinopathy and a combined tractional and rhegmatogenous retinal detachment.
• If the affected eye (right or left) is specified, a more specific code (e.g., E08.3541 or E08.3542) should be used instead.