Type 1 diab with prolif diab rtnop with comb detach, unsp

This code signifies a severe ocular complication of Type 1 diabetes, characterized by the growth of abnormal blood vessels in the retina (proliferative diabetic retinopathy) leading to a complex retinal detachment involving both tractional forces and a retinal break. This condition affects an unspecified eye, indicating that the laterality is not documented.

Apply this code when documentation confirms a patient with Type 1 diabetes has both proliferative diabetic retinopathy and a combined tractional and rhegmatogenous retinal detachment. This code is appropriate when the medical record does not specify whether the left or right eye is affected. Supporting documentation would include ophthalmology reports detailing the specific type of retinal detachment and the presence of proliferative changes.

• Always sequence the diabetes code (E10.-) first, as it is the underlying systemic condition.
• Ensure documentation clearly distinguishes between tractional, rhegmatogenous, and combined detachments; do not assume.
• If the laterality (left or right eye) is specified, use the more specific codes E10.3541 (right eye) or E10.3542 (left eye) instead of this unspecified code.