Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema (unspecified eye)
ICD-10 E10.3499 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema (unspecified eye).
E10.3499 refers to a specific condition in which a patient has Type 1 diabetes mellitus accompanied by severe nonproliferative diabetic retinopathy (NPDR) without macular edema in an unspecified eye. Type 1 diabetes is characterized by the autoimmune destruction of insulin-producing beta cells in the pancreas, leading to absolute insulin deficiency. Diabetic retinopathy is a common complication of diabetes, resulting from damage to the retinal blood vessels. In severe NPDR, patients may experience significant retinal changes, including microaneurysms, retinal hemorrhages, and cotton wool spots, but without the presence of macular edema, which is a more severe form of retinal damage. This condition can lead to vision impairment if not monitored and managed appropriately. Regular eye examinations and monitoring of HbA1c levels are crucial for managing diabetes and preventing further complications. Insulin management is essential for controlling blood glucose levels, which can help mitigate the progression of diabetic retinopathy.
Detailed records of diabetes management, including insulin regimens and HbA1c levels.
Patients presenting with uncontrolled diabetes and complications.
Ensure documentation reflects the severity of diabetes and any related complications.
Thorough eye examination reports detailing findings of diabetic retinopathy.
Routine eye exams for diabetic patients and management of retinopathy.
Document the absence of macular edema clearly to support coding.
Used during routine eye exams for diabetic patients.
Document findings of eye examination and any changes in management.
Ophthalmologists should ensure clarity in documenting retinopathy severity.
Specifying the eye affected is crucial for accurate coding and treatment planning, as it impacts management strategies and potential referrals.
Patients should have regular eye examinations, typically annually, and more frequently if retinopathy is present or if diabetes is poorly controlled.
