Oth diab with prolif diabetic rtnop with comb detach, r eye

This code signifies a specific type of diabetes mellitus, not otherwise classified as Type 1 or Type 2, that has led to severe ocular complications. Specifically, it indicates the presence of proliferative diabetic retinopathy in the right eye, characterized by both tractional and rhegmatogenous retinal detachments. This represents an advanced stage of diabetic eye disease requiring urgent intervention.

Use this code when documentation clearly specifies "other specified diabetes mellitus" and details proliferative diabetic retinopathy in the right eye with both tractional and rhegmatogenous retinal detachments. This typically occurs in patients with long-standing or poorly controlled diabetes. Supporting documentation would include ophthalmology reports, surgical notes for retinal repair, and endocrinology evaluations.

• Ensure the documentation explicitly states "other specified diabetes mellitus" and not Type 1 or Type 2.
• Verify that both tractional and rhegmatogenous retinal detachments are present in the right eye. Do not use if only one type of detachment is documented or if it's in the left or bilateral eyes.
• Always sequence the diabetes code first, followed by any associated complications, unless a specific guideline dictates otherwise.