Type 2 diab with prolif diab rtnop with macular edema, r eye

This code identifies a patient diagnosed with type 2 diabetes mellitus who has developed proliferative diabetic retinopathy in the right eye, specifically complicated by macular edema. Proliferative diabetic retinopathy involves new, abnormal blood vessel growth on the retina, and macular edema is the swelling of the macula, the central part of the retina responsible for sharp, detailed vision.

Use this code when documentation clearly states a diagnosis of type 2 diabetes and specifies proliferative diabetic retinopathy with macular edema affecting the right eye. This code is appropriate for patients undergoing treatment or monitoring for these specific diabetic complications.

• Ensure the documentation explicitly states "type 2 diabetes" and specifies "proliferative" retinopathy and "macular edema" in the "right eye."
• Do not use this code if the retinopathy is nonproliferative or if macular edema is absent or affects a different eye.
• Always sequence the diabetes code first, followed by the specific ophthalmic complication codes.