Type 1 diab with prolif diab rtnop without macular edema, bi

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, abnormal blood vessel growth. Importantly, there is no evidence of macular edema affecting either eye in this specific presentation.

Apply this code when documentation clearly states Type 1 diabetes and proliferative diabetic retinopathy is present bilaterally, without any mention of macular edema. This is typically supported by ophthalmology reports detailing funduscopic findings, fluorescein angiography, or OCT scans confirming proliferative changes but ruling out macular swelling.

• Ensure the documentation explicitly states "Type 1 diabetes" and "proliferative" retinopathy.
• Verify the absence of macular edema; if present, a different code would be required.
• Confirm the bilateral involvement; if unilateral, a different laterality code is needed.