Oth diab with prolif diab rtnop with trctn dtch n-mcla, bi

This code signifies a form of diabetes, not type 1 or type 2, that has led to severe eye complications in both eyes. Specifically, it indicates the presence of proliferative diabetic retinopathy, where abnormal blood vessels grow on the retina, and these vessels have caused a tractional retinal detachment that does not affect the central vision area (macula) in either eye.

Apply this code when documentation clearly states a diagnosis of "other specified diabetes mellitus" (e.g., secondary diabetes due to pancreatitis or drug-induced diabetes) alongside bilateral proliferative diabetic retinopathy with non-macula involving tractional retinal detachment. Supporting documentation should include ophthalmology reports detailing the specific type of diabetes and the bilateral retinal findings.

• Ensure the diabetes type is explicitly documented as "other specified" and not type 1 or type 2.
• Verify that the retinal detachment is clearly stated as "tractional" and "not involving the macula" for both eyes.
• Do not use if the detachment is rhegmatogenous, exudative, or involves the macula, or if only one eye is affected.