Type 2 diab with severe nonp rtnop with macular edema, r eye

This code signifies a patient diagnosed with type 2 diabetes who has developed severe nonproliferative diabetic retinopathy, specifically affecting the right eye, and is further complicated by macular edema. This represents a significant microvascular complication of diabetes impacting vision.

Apply this code when documentation clearly indicates type 2 diabetes and a diagnosis of severe nonproliferative diabetic retinopathy with macular edema in the right eye. Supporting documentation includes ophthalmology reports detailing retinal findings, visual acuity, and diagnostic imaging such as OCT scans confirming macular edema.

• Ensure the documentation specifies "severe" nonproliferative retinopathy and the laterality of the macular edema (right eye).
• Do not use this code if the retinopathy is mild, moderate, or proliferative, or if the macular edema is in the left or bilateral eyes.
• Always sequence the diabetes code first, as it is the underlying systemic condition causing the retinopathy.