Diabetes with mild nonp rtnop with macular edema, bilateral

This code signifies diabetes mellitus resulting from an identifiable underlying disease or condition, rather than type 1 or type 2 diabetes. Specifically, it indicates the presence of mild nonproliferative diabetic retinopathy affecting both eyes, complicated by macular edema. This represents a specific stage of diabetic eye disease where microaneurysms and hemorrhages are present, along with fluid accumulation in the macula.

Use this code when documentation clearly states diabetes is secondary to another condition (e.g., cystic fibrosis, pancreatectomy, drug-induced) and bilateral mild nonproliferative diabetic retinopathy with macular edema is diagnosed. This code requires explicit linkage between the underlying condition and the diabetes, as well as detailed ophthalmological findings.

• Always sequence the underlying condition causing the diabetes first, followed by this code.
• Ensure documentation specifies "mild" nonproliferative retinopathy and "macular edema" in both eyes.
• Do not use if the diabetes is type 1, type 2, or gestational; use the appropriate E09.-, E10.-, E11.-, or O24.- codes instead.