Type 2 diab w prolif diab rtnop with trctn dtch n-mcla, unsp

This code describes a patient with type 2 diabetes who has developed proliferative diabetic retinopathy, a severe form of diabetic eye disease characterized by new, fragile blood vessel growth. These new vessels have led to a tractional retinal detachment, where scar tissue pulls the retina away from its underlying support, specifically in an area not affecting the macula, and the affected eye is not specified.

Use this code when documentation confirms type 2 diabetes and a diagnosis of proliferative diabetic retinopathy with a traction retinal detachment that spares the macula. The physician's notes must clearly indicate the absence of macular involvement and that the specific eye affected is not documented.

• Ensure documentation explicitly states "traction retinal detachment" and "not involving the macula."
• If the affected eye (right, left, or bilateral) is specified, a more specific code should be used.
• Always sequence the diabetes code first, as it is the underlying systemic condition causing the retinopathy.