Type 2 diabetes w unsp diabetic rtnop w/o macular edema

This code signifies a diagnosis of type 2 diabetes where the patient exhibits damage to the retina due to the diabetes, but the specific type of retinopathy is not documented, and there is no associated swelling of the macula. It indicates a diabetic complication affecting vision without further specification of its severity or form.

Use this code when documentation confirms type 2 diabetes and diabetic retinopathy, but the physician has not specified whether it's proliferative, nonproliferative, or the stage of retinopathy. It is appropriate when macular edema is explicitly ruled out or not mentioned. Documentation must clearly link the retinopathy to the patient's type 2 diabetes.

• Do not use this code if the type or stage of diabetic retinopathy (e.g., mild nonproliferative, severe nonproliferative, proliferative) is specified in the medical record.
• Always sequence the diabetes code first, followed by codes for any associated complications like retinopathy.
• If macular edema is present, a more specific code from the E11.31 category that includes macular edema should be selected.