Type 2 diab with prolif diab rtnop without mclr edema, l eye

This code signifies a diagnosis of Type 2 diabetes mellitus complicated by proliferative diabetic retinopathy (PDR) affecting the left eye. PDR is an advanced stage of diabetic retinopathy characterized by the growth of new, abnormal blood vessels on the retina, which can lead to severe vision loss. Importantly, this specific code indicates the absence of macular edema in the left eye.

Use this code when documentation confirms a patient with Type 2 diabetes has developed proliferative diabetic retinopathy in their left eye, and there is explicit documentation that macular edema is not present in that eye. This code is appropriate for ophthalmology encounters, diabetic retinopathy screenings, or general medical visits where this specific ocular complication is diagnosed and managed.

• Always confirm the type of diabetes (Type 1 vs. Type 2) and the specific eye affected (left, right, or bilateral).
• Carefully review documentation for the presence or absence of macular edema, as this significantly impacts code selection.
• Sequence the diabetes code first, followed by any associated complications, unless a specific guideline dictates otherwise.