Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment (unspecified eye)
ICD-10 E10.3549 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 (unspecified eye).
E10.3549 refers to a severe complication of Type 1 diabetes mellitus characterized by proliferative diabetic retinopathy (PDR), which is a condition where abnormal blood vessels grow on the retina due to chronic hyperglycemia. This specific code indicates the presence of both traction retinal detachment, where the retina is pulled away from its normal position, and rhegmatogenous retinal detachment, which occurs when a tear in the retina allows fluid to accumulate beneath it. These complications can lead to significant vision loss if not treated promptly. Management typically involves strict glycemic control, often monitored through HbA1c levels, and may require surgical intervention such as vitrectomy or laser therapy. Insulin management is crucial for patients with Type 1 diabetes, as they rely on exogenous insulin to maintain blood glucose levels within target ranges to prevent further complications. Regular ophthalmologic evaluations are essential for early detection and management of diabetic retinopathy.
Detailed retinal examination findings, treatment plans, and follow-up notes.
Patients presenting with vision changes, floaters, or signs of retinal detachment.
Ensure clarity on the type of retinal detachment and its relation to diabetic retinopathy.
Comprehensive diabetes management records, including insulin regimens and HbA1c monitoring.
Patients with poorly controlled diabetes presenting with complications.
Document the impact of glycemic control on the progression of diabetic retinopathy.
Used for treatment of proliferative diabetic retinopathy.
Document the indication for laser treatment and the extent of retinal involvement.
Ophthalmologists should ensure that the procedure is linked to the diagnosis of diabetic retinopathy.
HbA1c levels are crucial in managing E10.3549 as they reflect long-term glycemic control, which directly impacts the progression of diabetic retinopathy and the risk of retinal detachment.
