Oth diab with mod nonp rtnop without macular edema, unsp

This code signifies a patient diagnosed with a form of diabetes mellitus other than Type 1 or Type 2, who also presents with a moderate stage of nonproliferative diabetic retinopathy. This retinopathy is characterized by microaneurysms, hemorrhages, and hard exudates, but specifically without any associated macular edema in an unspecified eye.

Apply this code when documentation confirms a diagnosis of "other specified diabetes mellitus" and an ophthalmological examination reveals moderate nonproliferative diabetic retinopathy. Ensure the physician explicitly states the absence of macular edema and does not specify which eye is affected.

• Always confirm the specific type of diabetes mellitus; "other specified" is distinct from Type 1 or Type 2.
• Verify the severity of the nonproliferative retinopathy (mild, moderate, severe) and the absence of macular edema.
• If the affected eye is specified (e.g., right, left, bilateral), a more specific code should be used.