Type 2 diabetes with stable prolif diabetic rtnop, bilateral

This code signifies type 2 diabetes mellitus complicated by proliferative diabetic retinopathy that is currently stable, affecting both eyes. Proliferative diabetic retinopathy is an advanced stage of diabetic eye disease characterized by new, fragile blood vessel growth on the retina, which can lead to severe vision loss if untreated. "Stable" indicates that the retinopathy is not actively worsening or requiring immediate intervention at the time of encounter.

Apply this code when documentation explicitly states type 2 diabetes and bilateral proliferative diabetic retinopathy that is clinically stable. This is typically used for ongoing management and monitoring of established retinopathy, rather than during an acute exacerbation or initial diagnosis of proliferation. Documentation should confirm the stability of the retinopathy, often following treatment such as laser photocoagulation or anti-VEGF injections.

• Always sequence the diabetes code (E11.-) first, as it is the underlying systemic condition.
• Ensure documentation specifies "proliferative" and "stable" for accurate code assignment; do not use for non-proliferative retinopathy.
• Verify laterality (bilateral) is clearly documented; separate codes exist for unilateral involvement.