Oth diab w prolif diab rtnop with trctn dtch n-mcla, r eye

This code signifies a diagnosis of other specified diabetes mellitus complicated by advanced diabetic retinopathy. Specifically, it indicates the presence of new, abnormal blood vessel growth (proliferative diabetic retinopathy) that has led to a traction retinal detachment in the right eye, where the macula remains unaffected. This condition can severely impair vision if not managed.

Use this code when documentation clearly states "other specified diabetes mellitus" and details proliferative diabetic retinopathy with a tractional retinal detachment in the right eye that does not involve the macula. This diagnosis is typically made by an ophthalmologist following a dilated fundus examination or imaging studies like OCT.

• Ensure the documentation specifies "other specified diabetes mellitus" and not Type 1 or Type 2.
• Verify laterality (right eye) and confirm the macula is explicitly stated as "not involved."
• Sequence this code after the primary diabetes mellitus code, if applicable, to indicate the manifestation.