Type 1 diab with prolif diabetic rtnop with comb detach, bi

This code signifies a severe ocular complication of Type 1 diabetes, specifically the presence of proliferative diabetic retinopathy in both eyes. This retinopathy has progressed to include both tractional and rhegmatogenous retinal detachments, indicating significant damage to the retina due to abnormal blood vessel growth and subsequent pulling and tearing of the retinal tissue.

Use this code when documentation clearly states a diagnosis of Type 1 diabetes and bilateral proliferative diabetic retinopathy complicated by both tractional and rhegmatogenous retinal detachments. This typically occurs in patients with long-standing or poorly controlled diabetes. Supporting documentation should include ophthalmology reports detailing the specific type and bilaterality of the retinal detachments.

• Ensure documentation specifies "Type 1 diabetes" and not "Type 2" or "unspecified."
• Verify that both "proliferative diabetic retinopathy" and "combined traction retinal detachment and rhegmatogenous retinal detachment" are explicitly stated and are bilateral.
• Do not use this code if only one type of retinal detachment is present or if it's unilateral; more specific codes exist for those scenarios.