Type 1 diab w prolif diab rtnop w trctn dtch macula, r eye

This code signifies a severe complication of Type 1 diabetes, specifically the presence of proliferative diabetic retinopathy (PDR) in the right eye. The PDR has advanced to include tractional retinal detachment, which is particularly concerning as it affects the macula, the central part of the retina responsible for sharp, detailed vision.

This code is appropriate when a patient with Type 1 diabetes is diagnosed with proliferative diabetic retinopathy that has led to a tractional retinal detachment involving the macula in their right eye. Documentation should clearly specify the type of diabetes, the stage of retinopathy (proliferative), the presence and type of retinal detachment (tractional), and the specific involvement of the macula in the right eye.

• Ensure documentation explicitly states "Type 1 diabetes" and "proliferative" retinopathy, as well as "tractional" retinal detachment involving the "macula" in the "right eye."
• Do not use this code if the retinal detachment is rhegmatogenous or serous, or if the macula is not involved.
• Sequence this code as a primary diagnosis when the retinal complication is the reason for the encounter, or as a secondary diagnosis when managing the overall diabetic condition.