Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema
ICD-10 E10.349 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema.
E10.349 refers to a specific complication of Type 1 diabetes mellitus characterized by severe nonproliferative diabetic retinopathy (NPDR) without the presence of macular edema. In this condition, the retinal blood vessels become damaged due to prolonged hyperglycemia, leading to changes such as microaneurysms, retinal hemorrhages, and exudates. Patients may experience visual disturbances, but the absence of macular edema indicates that the central vision is not yet affected. Management of this condition typically involves strict glycemic control, often monitored through HbA1c levels, which should ideally be maintained below 7% to prevent further retinal damage. Insulin therapy is crucial for Type 1 diabetes management, and regular ophthalmologic evaluations are essential to monitor the progression of retinopathy. This code highlights the importance of recognizing the severity of diabetic retinopathy in patients with Type 1 diabetes and the need for ongoing management to prevent complications.
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 plans and follow-up care.
Thorough eye examination reports detailing the presence and severity of retinopathy.
Routine eye exams for diabetic patients, especially those with known diabetes complications.
Document the absence of macular edema clearly to support coding.
Used during routine eye exams for diabetic patients.
Complete eye examination report detailing findings.
Ophthalmologists should document the severity of retinopathy clearly.
Coding E10.349 accurately reflects the severity of diabetic retinopathy in patients with Type 1 diabetes, which is crucial for appropriate management and treatment planning.
