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

This code signifies a diagnosis of type 2 diabetes mellitus complicated by nonproliferative diabetic retinopathy that has progressed to a moderate stage. Importantly, there is no evidence of macular edema, and the specific eye affected is not documented.

Use this code when documentation confirms type 2 diabetes and moderate nonproliferative diabetic retinopathy without macular edema, but the medical record does not specify whether the condition affects the right, left, or both eyes. This code is appropriate when the physician's assessment explicitly states "moderate nonproliferative diabetic retinopathy" without further detail on laterality or macular involvement.

• Ensure documentation clearly specifies "moderate" nonproliferative retinopathy; avoid using for mild or severe stages.
• Only use this code when laterality (right, left, or bilateral) is truly unspecified in the medical record. If laterality is known, a more specific code should be selected.
• Confirm the absence of macular edema; if present, a different code reflecting macular edema should be chosen.