Oth diab with mod nonp rtnop without macular edema, r eye

This code signifies a diagnosis of other specified diabetes mellitus complicated by moderate nonproliferative diabetic retinopathy affecting the right eye, specifically without the presence of macular edema. This stage of retinopathy is characterized by microaneurysms, hemorrhages, and cotton wool spots, but not extensive neovascularization or significant fluid leakage at the macula.

Apply this code when documentation confirms a patient with a type of diabetes mellitus other than Type 1 or Type 2 (e.g., secondary diabetes due to pancreatectomy or drug-induced diabetes) is diagnosed with moderate nonproliferative diabetic retinopathy in the right eye. The physician's notes must explicitly state the absence of macular edema.

• Ensure the specific type of diabetes mellitus is documented as "other specified" and not Type 1 or Type 2.
• Verify laterality is clearly documented as "right eye" and that macular edema is explicitly ruled out.
• Consider sequencing this code after the primary diabetes mellitus code, if applicable, to fully describe the patient's condition.