Other non-diabetic proliferative retinopathy, right eye

This code signifies the presence of abnormal new blood vessel growth (neovascularization) in the retina of the right eye, which is not caused by diabetes. This proliferation can lead to complications such as vitreous hemorrhage, retinal detachment, and vision loss.

Use this code when documentation specifies proliferative retinopathy in the right eye, and explicitly states that diabetes is not the underlying cause. This typically occurs in conditions like sickle cell retinopathy, retinopathy of prematurity (in adults), or following retinal vein occlusion, where neovascularization has developed.

• Always confirm the laterality (right eye) and the non-diabetic etiology from the physician's documentation.
• Do not use this code if the retinopathy is due to diabetes; instead, refer to the E10-E13 categories with appropriate retinopathy subcodes.
• Code any underlying systemic condition causing the retinopathy (e.g., sickle cell disease) as a primary diagnosis, followed by this code.