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

This code signifies a diagnosis of type 2 diabetes mellitus complicated by early-stage nonproliferative diabetic retinopathy, specifically without any swelling in the macula. The retinopathy is considered mild, indicating minimal microaneurysms or hemorrhages without significant visual impairment. The affected eye is not specified in this particular code.

Use this code when documentation confirms type 2 diabetes and mild nonproliferative diabetic retinopathy, with a clear statement that macular edema is absent. This code is appropriate when the medical record does not specify whether the condition affects the right, left, or both eyes. Supporting documentation includes ophthalmology reports detailing funduscopic findings or imaging results.

• Ensure documentation explicitly states "mild" nonproliferative retinopathy and "without macular edema."
• If the affected eye is specified (e.g., right, left, or bilateral), a more specific code from the E11.329- subcategory should be used.
• Always sequence the diabetes code (E11.-) first, followed by codes for any associated complications.