Drug/chem diab w prolif diab rtnop w trctn dtch n-mcla, bi

This code signifies diabetes mellitus caused by a drug or chemical, specifically presenting with advanced diabetic retinopathy characterized by new blood vessel growth and subsequent retinal detachment due to fibrous tissue pulling on the retina, affecting both eyes but sparing the central vision area. It indicates a severe ocular complication of drug-induced diabetes.

Apply this code when documentation clearly states drug or chemical-induced diabetes mellitus, bilateral proliferative diabetic retinopathy, and bilateral tractional retinal detachment that does not involve the macula. This is typically supported by ophthalmology reports, physician notes, and medication lists indicating the causative agent.

• Ensure the documentation explicitly states the diabetes is drug or chemical-induced, not Type 1 or Type 2.
• Verify that the tractional retinal detachment is not involving the macula; a different code applies if macular involvement is present.
• Confirm bilateral involvement; separate codes exist for unilateral conditions.