Oth diab with severe nonp rtnop without macular edema, bi

This code signifies a diagnosis of diabetes mellitus, type unspecified, that has led to severe nonproliferative diabetic retinopathy affecting both eyes. Importantly, there is no associated macular edema in either eye. This represents a significant stage of diabetic eye disease requiring close monitoring and management.

Use this code when documentation clearly indicates "other specified diabetes mellitus" (e.g., secondary diabetes, drug-induced diabetes) and a confirmed diagnosis of severe nonproliferative diabetic retinopathy in both eyes. The physician's notes must explicitly state the absence of macular edema. This code is appropriate for patients with established diabetic retinopathy who are undergoing ophthalmologic evaluation or treatment.

• Ensure the type of diabetes is specified as "other specified" and not type 1 or type 2.
• Confirm that the retinopathy is explicitly documented as "severe nonproliferative" and affects "bilateral" eyes.
• Verify that macular edema is specifically ruled out or documented as absent for both eyes.