Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema (right eye)
ICD-10 E10.3491 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema (right eye).
E10.3491 refers to a specific condition in which a patient has Type 1 diabetes mellitus accompanied by severe nonproliferative diabetic retinopathy in the right eye, without the presence of macular edema. 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 chronic hyperglycemia and associated metabolic disturbances. In severe nonproliferative diabetic retinopathy, patients may experience significant retinal changes, including retinal hemorrhages, exudates, and cotton wool spots, but without the formation of new blood vessels (neovascularization) or macular edema, which can lead to vision loss. Regular monitoring of HbA1c levels is crucial, as maintaining levels below 7% can help prevent or delay the progression of diabetic retinopathy. Insulin management is essential for controlling blood glucose levels, and patients may require multiple daily injections or an insulin pump. This code emphasizes the importance of careful documentation of the eye condition and the diabetes management plan to ensure accurate coding and reimbursement.
Detailed eye examination findings, including retinal imaging results and visual acuity assessments.
Patients presenting with blurred vision, floaters, or routine diabetic eye exams.
Ensure clear documentation of the absence of macular edema and the severity of retinopathy.
Comprehensive diabetes management plan, including insulin regimen and HbA1c levels.
Patients with poorly controlled diabetes or those experiencing complications.
Document all aspects of diabetes management, including lifestyle modifications and medication adherence.
Used during routine eye exams for diabetic retinopathy assessment.
Document visual acuity, fundoscopic findings, and any treatment recommendations.
Ophthalmologists should ensure detailed documentation of retinal findings.
Specifying the eye affected is crucial for accurate diagnosis coding, as treatment and management may differ based on the eye involved. It also helps in tracking the progression of diabetic retinopathy.
