Type 1 diab with prolif diab rtnop with macular edema, r eye

This code identifies a patient diagnosed with Type 1 diabetes who has developed proliferative diabetic retinopathy, a severe form of retinal damage characterized by new, fragile blood vessel growth. Specifically, it indicates the presence of macular edema, swelling in the central part of the retina, affecting the right eye. This condition can lead to significant vision impairment or blindness if untreated.

Use this code when documentation clearly states a diagnosis of Type 1 diabetes mellitus and specifies proliferative diabetic retinopathy with macular edema in the right eye. Supporting documentation would include ophthalmology reports detailing funduscopic findings, OCT scans confirming macular edema, and a confirmed diagnosis of Type 1 diabetes.

• Always ensure the laterality (right eye) is explicitly documented.
• Verify that the retinopathy is specified as "proliferative" and that "macular edema" is also present.
• Sequence this code after the primary diabetes code (E10.-) if the retinopathy is a manifestation.