Type 2 diab with prolif diab rtnop without mclr edema, r eye

This code signifies a diagnosis of type 2 diabetes mellitus complicated by proliferative diabetic retinopathy (PDR) affecting the right eye, specifically without the presence of macular edema. PDR is an advanced stage of diabetic retinopathy characterized by the growth of new, abnormal blood vessels on the retina and optic disc, which can lead to severe vision loss.

Use this code when documentation confirms a patient with type 2 diabetes has been diagnosed with proliferative diabetic retinopathy in the right eye, and the ophthalmologist or optometrist explicitly states the absence of macular edema. Supporting documentation includes ophthalmology reports detailing fundoscopic findings, fluorescein angiography results, and optical coherence tomography (OCT) scans.

• Ensure documentation specifies "right eye" and explicitly states "without macular edema" to accurately assign this code.
• Do not use this code if macular edema is present; a different code specifying macular edema would be appropriate.
• Always sequence the diabetes code first, as the retinopathy is a manifestation of the diabetes.