Type 2 diab w prolif diab rtnop with trctn dtch macula, bi

This code signifies a patient diagnosed with type 2 diabetes who has developed advanced diabetic eye disease affecting both eyes. Specifically, it indicates the presence of proliferative diabetic retinopathy (PDR) with tractional retinal detachment that has progressed to involve the macula, the central part of the retina responsible for sharp, detailed vision.

Use this code when documentation clearly states a diagnosis of type 2 diabetes and bilateral proliferative diabetic retinopathy with traction retinal detachment involving the macula. This typically occurs in patients with long-standing or poorly controlled diabetes. Supporting documentation would include ophthalmology reports detailing funduscopic findings, OCT scans, and a confirmed diagnosis of type 2 diabetes.

• Ensure documentation specifies "bilateral" involvement and that the traction retinal detachment "involves the macula."
• Do not confuse with non-proliferative diabetic retinopathy or traction retinal detachment not involving the macula.
• Always sequence the diabetes code first, as it is the underlying systemic condition causing the retinopathy.