Type 2 diab with mod nonp rtnop without macular edema, bi

This code signifies a diagnosis of type 2 diabetes where both eyes exhibit moderate nonproliferative diabetic retinopathy, but without any associated swelling of the macula. This stage of retinopathy is characterized by microaneurysms, hemorrhages, and hard exudates, but not yet new blood vessel growth.

Apply this code when documentation confirms a patient with type 2 diabetes has been diagnosed with moderate nonproliferative diabetic retinopathy affecting both eyes, and specifically states the absence of macular edema. This diagnosis is typically made by an ophthalmologist following a dilated eye exam or retinal imaging.

• Ensure documentation explicitly states "moderate" nonproliferative retinopathy and "bilateral" involvement.
• Verify the absence of macular edema; if present, a different code for retinopathy with macular edema would be appropriate.
• Always sequence the diabetes code first, as the retinopathy is a manifestation of the diabetes.