Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment
ICD-10 E10.354 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment.
E10.354 represents a severe complication of Type 1 diabetes mellitus characterized by proliferative diabetic retinopathy (PDR), which is the advanced stage of diabetic eye disease. In this condition, abnormal blood vessels grow on the retina, leading to potential vision loss. The presence of combined traction retinal detachment and rhegmatogenous retinal detachment indicates that the retina is being pulled away from its normal position due to scar tissue (traction) and also has tears or breaks (rhegmatogenous). This dual pathology complicates the management and treatment of the patient, often requiring surgical intervention such as vitrectomy. The management of Type 1 diabetes involves careful monitoring of blood glucose levels, with an emphasis on maintaining HbA1c levels below 7% to prevent complications. Insulin therapy is essential for these patients, and they may require multiple daily injections or continuous subcutaneous insulin infusion. Regular eye examinations are crucial for early detection and management of diabetic retinopathy.
Detailed descriptions of retinal findings, surgical notes, and follow-up care.
Patients presenting with vision changes, requiring laser treatment or surgery for retinal detachment.
Ensure clarity in documenting the type of retinal detachment and any interventions performed.
Comprehensive management plans, including insulin regimens and HbA1c monitoring.
Patients with poorly controlled diabetes presenting with complications.
Document the patient's diabetes management and any changes in treatment plans.
Used for surgical intervention in cases of retinal detachment.
Surgical notes detailing the procedure and findings.
Ophthalmology must document the type of detachment and any complications.
HbA1c levels are crucial for demonstrating the patient's diabetes management and risk for complications. Documenting these levels supports the diagnosis and justifies the need for interventions.
Traction retinal detachment occurs due to pulling forces on the retina, often from scar tissue, while rhegmatogenous retinal detachment is caused by tears or breaks in the retina. Accurate documentation of both types is essential for coding E10.354.
