Type 2 diab with moderate nonp rtnop with macular edema, bi

This code signifies a patient diagnosed with type 2 diabetes who also presents with moderate nonproliferative diabetic retinopathy affecting both eyes. A key component is the presence of macular edema, indicating fluid accumulation in the macula, which can impair central vision. This combination reflects a specific stage of diabetic eye disease.

Apply this code when documentation clearly states type 2 diabetes and bilateral moderate nonproliferative diabetic retinopathy with macular edema. This is typically supported by ophthalmological examination findings, including fundus photography, optical coherence tomography (OCT) scans confirming macular edema, and a physician's diagnostic statement.

• Ensure documentation specifies "moderate" nonproliferative retinopathy and "bilateral" involvement.
• Always confirm the presence of macular edema; without it, a different code for nonproliferative retinopathy would be appropriate.
• This code inherently links the retinopathy to the diabetes, so no additional diabetes manifestation code is needed for the retinopathy itself.