Type 2 diab with mild nonp rtnop without macular edema, bi

This code signifies a diagnosis of type 2 diabetes mellitus complicated by early-stage diabetic retinopathy affecting both eyes. Specifically, it indicates the presence of microaneurysms and/or hemorrhages without new vessel formation or swelling of the macula.

Apply this code when documentation confirms type 2 diabetes and a bilateral ophthalmological finding of mild nonproliferative diabetic retinopathy. The physician's notes must explicitly state the absence of macular edema.

• Always ensure the documentation specifies "mild" and "nonproliferative" and "bilateral" for retinopathy.
• Verify the type of diabetes is clearly documented as "type 2."
• Do not use this code if macular edema is present; a different subcategory would be appropriate.