Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema (right eye)
ICD-10 E10.3511 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema (right eye).
E10.3511 refers to a specific complication of Type 1 diabetes mellitus characterized by proliferative diabetic retinopathy (PDR) with macular edema in the right eye. PDR is a severe form of diabetic retinopathy where new, abnormal blood vessels grow on the retina, which can lead to vision loss. Macular edema occurs when fluid accumulates in the macula, the central part of the retina responsible for sharp vision. This condition is often associated with prolonged hyperglycemia, indicated by elevated HbA1c levels, which reflect poor long-term glucose control. Management typically involves insulin therapy to maintain blood glucose levels within target ranges, alongside regular ophthalmologic evaluations to monitor retinal health. The presence of macular edema necessitates prompt intervention, which may include laser therapy or intravitreal injections to prevent further vision impairment. Accurate coding of this condition is crucial for appropriate treatment planning and reimbursement.
Detailed records of diabetes management, including insulin regimens and HbA1c levels.
Patients presenting with uncontrolled diabetes and complications such as retinopathy.
Ensure comprehensive documentation of diabetes management and referrals to ophthalmology.
Thorough documentation of retinal examinations, imaging results, and treatment plans.
Patients with diabetic retinopathy requiring laser treatment or injections.
Document the specific eye affected and the severity of retinopathy.
Used for treatment of proliferative diabetic retinopathy.
Document the indication for laser treatment and the specific eye treated.
Ophthalmologists must ensure accurate coding for the procedure based on the diagnosis.
Accurate coding of E10.3511 is crucial for ensuring appropriate treatment plans, monitoring patient outcomes, and securing proper reimbursement for the healthcare services provided.
