Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment (right eye)
ICD-10 E10.3541 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 (right eye).
E10.3541 represents a specific complication of Type 1 diabetes mellitus characterized by proliferative diabetic retinopathy (PDR) leading to severe vision-threatening conditions, including combined traction and rhegmatogenous retinal detachments in the right eye. PDR occurs when abnormal blood vessels grow on the retina, which can bleed or leak fluid, causing vision impairment. In this case, the traction retinal detachment is caused by the pulling of the retina due to fibrous tissue, while rhegmatogenous retinal detachment occurs due to a tear in the retina itself. Both conditions can lead to significant visual loss if not treated promptly. Management typically involves careful monitoring of blood glucose levels, maintaining HbA1c levels below 7% to prevent further complications, and may require surgical interventions such as vitrectomy or laser therapy. Insulin management is crucial for controlling blood glucose levels, which can help mitigate the progression of diabetic retinopathy and its associated complications.
Detailed retinal examination findings, treatment plans, and follow-up care.
Patients presenting with vision changes, diabetic eye exams, and surgical interventions for retinal detachment.
Ensure clear documentation of the type of retinal detachment and any surgical procedures performed.
Comprehensive diabetes management records, including HbA1c levels and insulin regimen.
Management of diabetes in patients with complications, adjustments in insulin therapy.
Document the impact of diabetes management on ocular health.
Used for surgical intervention in cases of retinal detachment.
Document the indication for surgery and findings during the procedure.
Ophthalmology specialists should ensure detailed operative notes.
Specifying the eye affected is crucial for treatment planning and understanding the severity of the condition, as management may differ based on the eye involved.
Higher HbA1c levels are associated with an increased risk of developing diabetic retinopathy and its complications, making glycemic control essential in preventing progression.