Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema (bilateral)
ICD-10 E10.3593 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema (bilateral).
E10.3593 refers to a specific complication of Type 1 diabetes mellitus characterized by proliferative diabetic retinopathy (PDR) without macular edema affecting both eyes. PDR is a severe form of diabetic retinopathy where new, abnormal blood vessels grow on the retina, which can lead to vision loss. This condition arises due to chronic hyperglycemia, which damages the retinal blood vessels. Patients with Type 1 diabetes often have fluctuating blood glucose levels, and the risk of developing PDR increases with the duration of diabetes and poor glycemic control, typically indicated by elevated HbA1c levels. Management of this condition often involves strict glycemic control through insulin therapy, regular ophthalmologic examinations, and potential interventions such as laser photocoagulation to prevent further vision loss. The absence of macular edema in this code indicates that while the retina is affected, the central vision area remains intact, which is a critical distinction in treatment and prognosis.
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 and complications.
Thorough retinal examination reports and imaging studies.
Patients undergoing routine eye exams for diabetic retinopathy.
Document the absence of macular edema and the extent of proliferative changes.
Used during routine eye exams for diabetic retinopathy.
Document the extent of retinopathy and any interventions.
Ophthalmologists should ensure detailed reports of findings.
Specifying 'without macular edema' is crucial as it indicates a different treatment approach and prognosis compared to cases with macular edema, which can lead to more severe vision loss.
