Type 2 diab with mod nonp rtnop with macular edema, r eye

This code signifies a patient diagnosed with type 2 diabetes who also presents with a specific eye complication: moderate nonproliferative diabetic retinopathy affecting the macula of the right eye, characterized by macular edema. This indicates a stage of diabetic eye disease where microaneurysms, hemorrhages, and exudates are present, and fluid leakage is causing swelling in the central part of the retina.

Apply this code when documentation clearly states a diagnosis of type 2 diabetes mellitus and moderate nonproliferative diabetic retinopathy with macular edema specifically in the right eye. This is appropriate for ophthalmology encounters, endocrinology visits, or primary care where these conditions are actively managed and documented. Supporting documentation would include funduscopic exam findings, OCT scans confirming macular edema, and a confirmed diagnosis of type 2 diabetes.

• Ensure the laterality (right eye) is explicitly documented; do not assume.
• Verify the severity of the retinopathy (moderate nonproliferative) and the presence of macular edema.
• Always sequence the diabetes code first, as it is the underlying systemic condition causing the retinopathy.