Oth diabetes with stable prolif diabetic retinopathy, unsp

This code describes a form of diabetes mellitus, other than type 1 or type 2, that is complicated by stable proliferative diabetic retinopathy. Proliferative retinopathy involves abnormal new blood vessel growth in the retina, which in this case is not actively worsening. The specific eye affected is not documented.

Use this code when documentation specifies "other specified diabetes mellitus" and indicates the presence of stable proliferative diabetic retinopathy. This is appropriate when the physician explicitly states the retinopathy is stable or non-progressive, and the affected eye is not specified. Documentation should clearly differentiate from non-proliferative forms or unstable proliferative disease.

• Ensure the documentation specifies "other specified diabetes mellitus" and not Type 1, Type 2, or gestational diabetes.
• Confirm the retinopathy is explicitly noted as "stable" or "non-active" proliferative diabetic retinopathy.
• If the affected eye (right, left, or bilateral) is known, a more specific code should be used.