Type 1 diab with mod nonp rtnop without macular edema, bi

This code signifies a patient diagnosed with Type 1 diabetes who also presents with moderate nonproliferative diabetic retinopathy affecting both eyes, but without any associated macular edema. This stage of retinopathy involves microaneurysms, hemorrhages, and cotton wool spots, but not new vessel growth or significant fluid leakage at the macula.

Apply this code when documentation clearly states Type 1 diabetes and bilateral moderate nonproliferative diabetic retinopathy without macular edema. This is typically identified during an ophthalmological examination, such as a dilated fundus exam or fundus photography. The physician's assessment must specify the severity as "moderate nonproliferative" and confirm the absence of macular edema in both eyes.

• Always confirm the type of diabetes (Type 1 vs. Type 2) and the laterality (bilateral in this case).
• Distinguish carefully between mild, moderate, and severe nonproliferative retinopathy, as well as proliferative retinopathy, as these have distinct codes.
• Ensure documentation explicitly states "without macular edema" for both eyes; if macular edema is present, a different code is required.