Diab with prolif diabetic rtnop with trctn dtch n-mcla, bi

This code signifies diabetes mellitus that is a direct consequence of another underlying disease or condition, rather than type 1 or type 2. The patient presents with proliferative diabetic retinopathy, characterized by new blood vessel growth, and has developed traction retinal detachment in both eyes, specifically outside the macula.

Apply this code when documentation clearly states diabetes is secondary to another condition (e.g., cystic fibrosis, pancreatectomy) and specifies bilateral proliferative diabetic retinopathy with non-macular traction retinal detachment. Ensure the underlying condition causing the diabetes is also coded.

• Always code the underlying condition causing the diabetes first.
• Confirm the retinopathy is "proliferative" and the detachment is "tractional" and "not involving the macula" in both eyes.
• Distinguish from diabetic retinopathy without detachment (E08.351-) or with macular involvement (E08.354-).