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

This code signifies 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, the left eye is affected by macular edema, which is swelling in the central part of the retina responsible for sharp, detailed vision. This combination indicates advanced diabetic eye disease with significant visual impairment potential.

Use this code when documentation clearly states Type 1 diabetes and confirms proliferative diabetic retinopathy with macular edema in the left eye. This typically occurs in ophthalmology or endocrinology settings during follow-up for diabetic complications. Supporting documentation includes ophthalmological exam findings, retinal imaging (e.g., OCT, fluorescein angiography), and a confirmed diagnosis of Type 1 diabetes.

• Always confirm the type of diabetes (Type 1 vs. Type 2) and the specific eye affected (left, right, or bilateral).
• Ensure documentation specifies "proliferative" retinopathy; nonproliferative forms use different codes.
• Verify the presence of macular edema, as its absence would lead to a different code.