Oth diab with moderate nonp rtnop without macular edema, bi

This code signifies a form of diabetes mellitus, not type 1 or type 2, that is complicated by diabetic retinopathy. Specifically, it indicates that the patient has moderate nonproliferative changes in both eyes, but without any associated swelling of the macula.

Apply this code when documentation specifies "other specified diabetes mellitus" (e.g., secondary diabetes due to pancreatectomy or drug-induced) and a diagnosis of moderate nonproliferative diabetic retinopathy affecting both eyes, with explicit notation that macular edema is absent. This code requires clear physician documentation of the diabetes type and the specific stage and bilaterality of the retinopathy.

• Always confirm the specific type of diabetes mellitus; "other specified" is distinct from Type 1 or Type 2.
• Verify the stage of retinopathy (e.g., mild, moderate, severe nonproliferative, proliferative) and the presence or absence of macular edema.
• Ensure documentation explicitly states "bilateral" for the retinopathy to use this code.