Drug/chem diab w prolif diab rtnop w trctn dtch n-mcla,r eye

This code signifies diabetes mellitus caused by a drug or chemical, specifically presenting with advanced diabetic retinopathy. The retinopathy has progressed to the proliferative stage, characterized by new, abnormal blood vessel growth, and has led to a tractional detachment of the retina in the right eye, but the macula remains unaffected.

Apply this code when documentation clearly indicates drug or chemical-induced diabetes alongside proliferative diabetic retinopathy with a traction retinal detachment in the right eye that spares the macula. This is typically supported by ophthalmological examination findings, including fundoscopy, OCT, or fluorescein angiography, confirming the specific type and location of the retinopathy and detachment.

• Always code the underlying drug or chemical responsible for the diabetes first, if known and documented.
• Ensure documentation explicitly states "traction retinal detachment" and "not involving the macula" for the right eye.
• Distinguish carefully from diabetic retinopathy without detachment or with rhegmatogenous detachment.