Oth diabetes with severe nonp rtnop with macular edema, bi

This code signifies a diagnosis of other specified diabetes mellitus, indicating a type of diabetes not classified as Type 1, Type 2, or gestational. The patient presents with severe nonproliferative diabetic retinopathy, characterized by significant retinal damage without new blood vessel growth, and importantly, macular edema affecting both eyes.

Apply this code when documentation clearly states "other specified diabetes mellitus" alongside severe nonproliferative diabetic retinopathy with macular edema in both eyes. This diagnosis is typically made by an ophthalmologist or endocrinologist based on retinal examination findings and diabetes type classification.

• Ensure the documentation explicitly states "other specified diabetes mellitus" and not Type 1 or Type 2.
• Verify that both severe nonproliferative retinopathy and macular edema are present and bilateral.
• Always sequence the diabetes code first, followed by any associated complications like retinopathy.