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Icd 10 Code For Mild Nonproliferative Diabetic Retinopathy With Macular Edema Right Eye

Icd-10 Diagnosis Code E11.329

Icd-10 Diagnosis Code E11.329

Diabetes means your blood glucose, or blood sugar, levels are too high. With type 2 diabetes, the more common type, your body does not make or use insulin well. Insulin is a hormone that helps glucose get into your cells to give them energy. Without insulin, too much glucose stays in your blood. Over time, high blood glucose can lead to serious problems with your heart, eyes, kidneys, nerves, and gums and teeth. You have a higher risk of type 2 diabetes if you are older, obese, have a family history of diabetes, or do not exercise. Having prediabetes also increases your risk. Prediabetes means that your blood sugar is higher than normal but not high enough to be called diabetes. The symptoms of type 2 diabetes appear slowly. Some people do not notice symptoms at all. The symptoms can include Blood tests can show if you have diabetes. One type of test, the A1C, can also check on how you are managing your diabetes. Many people can manage their diabetes through healthy eating, physical activity, and blood glucose testing. Some people also need to take diabetes medicines. NIH: National Institute of Diabetes and Digestive and Kidney Diseases Choose More than 50 Ways to Prevent Type 2 Diabetes - NIH - Easy-to-Read (National Diabetes Education Program) Diabetes type 2 - meal planning (Medical Encyclopedia) Giving an insulin injection (Medical Encyclopedia) Type 2 diabetes - self-care (Medical Encyclopedia) Continue reading >>

Top 85 Retina Diagnosis Codes

Top 85 Retina Diagnosis Codes

Note: A dash (-) at the end of a code indicates that more characters are required (eg, laterality, stage, severity). See legend for appropriate digits. ICD-9 Code Descriptor ICD-10 Code Descriptor Coding Considerations 115.02* Infection by Histoplasma capsulatum, retinitis B39.4 Histoplasmosis capsulati, unspecified Report both codes; Report and document Associated AIDS (B20) H32 Chorioretinal disorders in diseases classified elsewhere 130.2 Chorioretinitis due to toxoplasmosis B58.01 Toxoplasma chorioretinitis 190.6 Malignant neoplasm of choroid C69.3- Malignant neoplasm of choroid Code laterality; No bilateral code 224.6 Benign neoplasm of choroid D31.3- Benign neoplasm of choroid Code laterality; No bilateral code 250.00 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled E11.9 Type 2 diabetes mellitus without complications 250.50** Diabetes with ophthalmic manifestations, type II or unspecified type, not stated as uncontrolled E11.3- Type 2 diabetes mellitus with diabetic retinopathy Code and document: Type, retinopathy, proliferative, nonproliferative severity, and edema; Document laterality E11.36 Type 2 diabetes mellitus with diabetic cataract E11.39 Type 2 diabetes mellitus with other diabetic ophthalmic complication 250.52** Diabetes with ophthalmic manifestations, type II or unspecified type, uncontrolled E11.3- Type 2 diabetes mellitus with diabetic retinopathy Code and document: Type, retinopathy, proliferative, nonproliferative severity, and edema; Document laterality E11.36 Type 2 diabetes mellitus with diabetic cataract E11.39 Type 2 diabetes mellitus with other diabetic ophthalmic complication 360.01 Acute endophthalmitis H44.00- Unspecified purulent endophthalmitis Code laterality 360.21 Progressive Continue reading >>

Type 2 Diabetes Mellitus With Mild Nonproliferative Diabetic Retinopathy With Macular Edema

Type 2 Diabetes Mellitus With Mild Nonproliferative Diabetic Retinopathy With Macular Edema

Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema - E11.321 See: Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy Back to E11.32 ICD-10 Code for Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema E11.321 E11.321 is a valid1 ICD 10 diagnosis code. E11.321 is NOT valid for submission for HIPAA-covered transactions. See below ↓ Chapter 4 Endocrine, nutritional and metabolic diseases (E00-E89) Section E08-E13 Diabetes mellitus (E08-E13) Category E11 Type 2 diabetes mellitus google_ad_client="ca-pub-1814926481161688";google_ad_slot="9344397369";google_ad_format="734x90_0ads_al";google_adsbygoogle_status="done";google_ad_width=734;google_ad_height=90;google_ad_resizable=true;google_override_format=1;google_responsive_auto_format=10;google_loader_features_used=128;google_ad_modifications={"plle":true,"eids":["38893301","21061122","191880502"],"loeids":["38893311"]};google_loader_used="aa";google_reactive_tag_first=false;google_ad_unit_key="3481760299";google_ad_dom_fingerprint="1195395224";google_sailm=false;google_unique_id=2;google_async_iframe_id="aswift_1";google_start_time=1514617652178;google_pub_vars="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 Continue reading >>

Top Icd-10-cm Changes: Diabetes, Glaucoma And Macular Degeneration

Top Icd-10-cm Changes: Diabetes, Glaucoma And Macular Degeneration

On October 1, 2016, changes to ICD-10-CM coding were implemented. While all of the code changes applicable for optometry are important, a few of the major changes are discussed in this article. Diabetic Ocular Complication Codes The first major change in ICD-10-CM codes for 2017 is for diabetic ocular complication coding. All of the DM retinopathy code choices will now specify which eye is impacted. Several new codes for proliferative diabetic retinopathy were also added. Note that a code for oral diabetic medication use (Z79.84) was added and should be used when applicable. The existing code to designate insulin use (Z79.4) was retained. Keep in mind that not all injectable diabetic medications are considered insulin. If a patient is on both oral medication and insulin, both of these medication codes should be used. The new codes for diabetic retinopathy apply to all the code categories, but only the E11.3 code section is detailed in this article so be sure to review the other categories if you are using them for any particular patient. The other categories include E08.3, E09.3, and E10.3. E11.3 Type 2 diabetes mellitus with ophthalmic complications All of the subcategories under E11.3, with two exceptions, will require a 7th character to indicate which eye had retinopathy. One exception is E11.36 Type 2 diabetes mellitus with diabetic cataract. The other exception is E11.39 Type 2 diabetes mellitus with other diabetic ophthalmic complication, but this code does require the use of an additional code to further describe the complication. The ICD-10-CM tabular listing for each of the following subcategories will require the following 7th character to be added as indicated by this statement under each subcategory: E11.32, E11.33, E11.34, and E11.35. As an example, all of Continue reading >>

Putting Icd-10 Into Practice: Coding Exercises And Scenarios (exercise/scenario #4)

Putting Icd-10 Into Practice: Coding Exercises And Scenarios (exercise/scenario #4)

Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #4) In preparation for the transition to ICD-10, each month this section will feature an article to help you put the new guidelines and conventions you learned about last year into practice. If needed, use the ICD-10 Spotlight: Know the codes booklet for assistance with these exercises. An answer key is provided below so you can verify if your answers are correct. In addition, a list of code narratives is included on the next page to describe each ICD-10 code. Code the following conditions according to ICD-10 coding conventions and guidelines: Shaken infant syndrome, initial encounter Twin pregnancy, one placenta, two amniotic sacs, third trimester with complication of gestational hypertension Subacute monocytic leukemia, in remission Neoplasm of uncertain behavior of the nasal cavities Benign carcinoid tumor of the small intestine Code the following scenario according to ICD-10 coding conventions and guidelines: Due to ailing health, Janes grandfather will be moving in with her in a few months. To understand what care is needed, Jane escorted her grandfather to his doctor appointment for the first time. The doctor told Jane that her grandfather was being treated for mild nonproliferative diabetic retinopathy with macular edema. He has type 2 diabetes and takes insulin on a daily basis. He has also developed diabetic cataract in his right eye. The following are the corresponding code narratives for each of the ICD-10 codes in the answer key for the coding exercises and coding scenarios: Type 2 diabetes mellitus with diabetic cataract For additional information related to the AmeriHealth transition to ICD-10, please visit the ICD-10 section of our website. On this site you will find examples Continue reading >>

Icd-10-cm Code E11.329 Type 2 Diabetes Mellitus With Mild Nonproliferative Diabetic Retinopathy Without Macular Edema

Icd-10-cm Code E11.329 Type 2 Diabetes Mellitus With Mild Nonproliferative Diabetic Retinopathy Without Macular Edema

Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis. E11.329 is a billable ICD code used to specify a diagnosis of type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema. A 'billable code' is detailed enough to be used to specify a medical diagnosis. The ICD code E113 is used to code Diabetic retinopathy Diabetic retinopathy ([rtnpi]), also known as diabetic eye disease, is when damage occurs to the retina due to diabetes. It can eventually lead to blindness. Image of fundus showing scatter laser surgery for diabetic retinopathy DRG Group #008 - Simultaneous pancreas or kidney transplant. DRG Group #124-125 - Other disorders of the eye with MCC. DRG Group #124-125 - Other disorders of the eye without MCC. Nonproliferative diabetic retinopathy due to type 2 diabetes mellitus (disorder) Consider additional code to identify specific condition or disease Possible requirement for causative disease code ICD-10-CM Alphabetical Index References for 'E11.329 - Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema' The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code E11.329. Click on any term below to browse the alphabetical index. Continue reading >>

Icd-10-cm And Cpt Changes In 2017

Icd-10-cm And Cpt Changes In 2017

November/ December 2016 ICD-10-CM CHANGES The proliferation of International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes for 2017 is especially relevant for retina practices, particularly the codes found in Chapter 4.1 New diagnosis codes should be in use now (started October 1), and the Centers for Medicare and Medicaid Services (CMS) has stated that they should be used from October 1 through September 30, 2017. Codes that do not change will continue to be used going forward. CMS was lenient in 2016 in allowing the use of codes with the description unspecified. In ICD-10-CM jargon, unspecified means the laterality or specificity of the diagnosis was not noted in the chart, not that it is unspecified clinically. Practices can expect claim denials if unspecified codes continue to be used. Codes that are more helpful are now in the book, but they are not necessarily where you would expect to find them. For example, codes for combined traction and rhegmatogenous retinal detachments can be found in Chapter 4 (Endocrine, Nutritional and other Metabolic Diseases) under diabetes, not in Chapter 7 (Diseases of the Eye and Adnexa). Chapter 4 also contains codes for use when a disease process has been treated and for disease that is stable. It is important for all physicians in a practice to review these changes because billing, coding, and payment will depend on the necessary information being documented in the chart. GUIDELINES The following is not a comprehensive list of all the changes for this year. Practices are advised to purchase and review the 2017 book.1 Diabetes mellitus has been abbreviated as DM. All descriptors have been abbreviated. Indented codes on this list are read with the beginning descriptor of the prior code. The hyphe Continue reading >>

Icd-10-cm-2017 E10.311 Type 1 Diabetes Mellitus With Unspecified Diabetic Retinopathy With Macular Edema

Icd-10-cm-2017 E10.311 Type 1 Diabetes Mellitus With Unspecified Diabetic Retinopathy With Macular Edema

Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema : right eye Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema : left eye Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema : bilateral Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema : unspecified eye Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema : right eye Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema : left eye Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema : bilateral Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema : unspecified eye Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy One of the following 7th characters is to be assigned to codes in subcategory E10.33 to designate laterality of the disease: Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema : right eye Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema : left eye Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema : bilateral Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema : unspecified eye Type 1 diabetes mellitu Continue reading >>

What Retina Practices Need To Know About Icd-10

What Retina Practices Need To Know About Icd-10

After years of delay, ICD-10 (or the International Classification of Diseases, 10th Revision) is up and running in the United States. The system is used for tracking and monitoring diseases and for health care reimbursement by countries around the world. The new ICD-10 is five times larger than its 14,000-code predecessor ICD-9, demanding greater specificity in diagnoses. How physicians make clinical diagnoses remains the same -- what has changed is the granularity with which the new ICD-10 codes describe those diagnoses. Transitioning to the complex new system is no small task and is likely to present some intermittent challenges for retina practices. With this in mind, ASRS has compiled the following information and resources to assist member practices in their move to ICD-10. Scroll for insights from our interview with coding expert Joy Woodke COE, OCS on: Top 5 concepts for retina ICD-10 Understanding new ICD-10 terminology Tips for transitioning to ICD-10 Top 5 concepts for retina ICD-10 5. Not all ICD-9 codes perfectly crosswalk to a code in ICD-10, but most do Some new codes were not available in ICD-9—for example, the ICD-10 code for cystoid macular edema status post-cataract surgery is H59.03-, “dash” meaning additional digits in the family of codes; there was not a code that specific in ICD-9. There was cystoid macular edema, but not cystoid macular edema status-postcataract surgery. Some codes don't crosswalk 1:1. Example: diabetes. When we code diabetic macular edema in ICD-9, we use 250.51 or 250.50, stating diabetes type 1 or type 2. We use 362.0X (X = 1, 2, 3, 4, 5, or 6) for diabetic retinopathy, and then 362.07, diabetic macular edema. Those 3 codes all crosswalk to variations of a single code in ICD-10. A lot of people rely on their practice mana Continue reading >>

Ibc Medical Policies

Ibc Medical Policies

Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye Type 1 diabetes mel Continue reading >>

Draft Icd-10-cm/pcs Ms-drgv28 Definitions Manual

Draft Icd-10-cm/pcs Ms-drgv28 Definitions Manual

Draft ICD-10-CM/PCS MS-DRGv28 Definitions Manual Appendix C: Principal diagnoses which convert CC/MCC to non-CC Unspecified retinal detachment with retinal break, right eye Unspecified retinal detachment with retinal break, left eye Unspecified retinal detachment with retinal break, bilateral Unspecified retinal detachment with retinal break, unspecified eye Retinal detachment with single break, right eye Retinal detachment with single break, left eye Retinal detachment with single break, bilateral Retinal detachment with single break, unspecified eye Retinal detachment with multiple breaks, right eye Retinal detachment with multiple breaks, left eye Retinal detachment with multiple breaks, bilateral Retinal detachment with multiple breaks, unspecified eye Retinal detachment with giant retinal tear, right eye Retinal detachment with giant retinal tear, left eye Retinal detachment with giant retinal tear, bilateral Retinal detachment with giant retinal tear, unspecified eye Retinal detachment with retinal dialysis, right eye Retinal detachment with retinal dialysis, left eye Retinal detachment with retinal dialysis, bilateral Retinal detachment with retinal dialysis, unspecified eye Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular edema Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema Diabetes mellitus due to underlying conditi Continue reading >>

New Diabetes-related Diagnosis Codes You Need To Know

New Diabetes-related Diagnosis Codes You Need To Know

New diabetes-related diagnosis codes you need to know Ask the Coding Experts, by Doug Morrow, O.D., Harvey Richman, O.D., Rebecca Wartman, O.D. From the November/December 2016 edition of AOA Focus , page 48-49. On Oct. 1, 2016, hundreds of new ICD-10 codes that impact doctors of optometry went into effect. Several additions and revisions have been made in Chapter 4 of the ICD-10 code set (endocrine, nutritional and metabolic diseases). This chapter includes diabetes-related diagnosis codes. Because doctors of optometry perform the majority of comprehensive, dilated eye examinations for people with diabetes in the United States and are well versed in the treatment and management of diabetic eye disease, it is critical that doctors of optometry are aware of these updated codes. In addition to the diabetes code changes, many other code changes have occurred. Included in this column are just a few of these important changes. New 'code additional' requirements for type II diabetes (E11) The ICD-10 guidelines provide direction on the sequence for reporting certain conditions. The guidelines indicate, "Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a 'use additional code' note at the etiology code and a 'code first' note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation." For type II diabetes (E11), the "use additional" instructions have changed. Previously physicians were guided to use an additional code to identify any in Continue reading >>

E11.321-351 Diabetic Macular Edema

E11.321-351 Diabetic Macular Edema

E11.321Mild nonproliferative diabetic retinopathy,with macular edema E11.331Moderate nonproliferative diabetic retinopathy,with macular edema E11.341Severe nonproliferative diabetic retinopathy,with macular edema E11.351Proliferative diabetic retinopathy,with macular edema A complication of diabetes that occurs when microaneurysms or dilated retinal capillaries leak fluid into the retina. Diabetes mellitus is a complex, multifactorial and heterogeneous group of disorders characterized by endogenous insulin deficiency and/or insulin resistance. The diseasemanifests itself as a state of chronic hyperglycemia with attendant microvascular and macrovascular complications. Macular edema may be present in any stage of diabetic retinopathy and is defined as any one of the following: Retinal thickening within 500 microns of the foveal center Hard exudates within 500 microns of the foveal center, if associated with the thickening of the adjacent retina Retinal thickening greater than one disc area in size, part of which is within one discdiameterof the center of the macul Walls of the blood vessels in the retina become fragile and weakened Weakened blood vessels have an increase in vascular permeability Lipid deposits form in the retinal tissue secondary to chronic edema Report seeing spots or floaters in field of view Report dark or empty spot in the central vision The main goal of the diagnostic evaluation in a patient with diabetic retinopathy is to accomplish the following: Determine the presence or absence of clinically significant macular edema If present, classify the severity of themacular edema Identify and exclude differential diagnosis The severity of the symptoms or signs isvaried and dependson the level of control the patient has over their diabetes. Patients can pr Continue reading >>

Icd-10-cm Diabetes Diag Codes

Icd-10-cm Diabetes Diag Codes

The discharge ICD-10-CM codes included in this spreadsheet are acceptable for use to answer "YES" to "Diabetes Mellitus" to complete the NHSN Operative Procedure Details. The definition excludes patients who receive insulin for perioperative control of hyperglycemia but have no diagnosis of diabetes. (reviewed 11012016) ICD-10-CM DIABETES DIAGNOSES CODES DESCRIPTIONS E10.10 Type 1 diabetes mellitus with ketoacidosis without coma E10.11 Type 1 diabetes mellitus with ketoacidosis with coma E10.21 Type 1 diabetes mellitus with diabetic nephropathy E10.22 Type 1 diabetes mellitus with diabetic chronic kidney disease E10.29 Type 1 diabetes mellitus with other diabetic kidney complication E10.311 Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema E10.319 Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema E10.321 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema E10.329 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema E10.331 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema E10.339 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema E10.341 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema E10.349 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema E10.351 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema E10.359 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema E10.36 Type 1 diabetes mellitus with diabetic cataract E10.39 Type 1 diabetes mellitus with other diabetic ophthalmic Continue reading >>

Coding For Diabetic Retinopathy

Coding For Diabetic Retinopathy

For The Record Vol. 24 No. 17 P. 26 Diabetic retinopathy is a complication of long-term diabetes resulting from changes in the blood vessels of the retina. The condition may start with no symptoms or only mild vision problems, but it may eventually lead to blindness. Diabetic retinopathy is the leading cause of blindness in working-age Americans. The longer a patient has diabetes, the greater the risk he or she will experience diabetic complications such as diabetic retinopathy. Preventive measures include maintaining well-controlled blood sugars and regularly scheduling eye exams. Poorly controlled blood sugars may affect the capillaries in the eye. If a patient is admitted with diabetic retinopathy or has retinopathy due to diabetes, the diabetic code (ICD-9-CM category 250) must be sequenced as the principal diagnosis followed by the code for the specific type of retinopathy as a secondary diagnosis. The physician must state a cause and effect relationship between the retinopathy and the diabetes before the retinopathy can be coded as a diabetic condition. Diabetes with ophthalmic manifestations is assigned to diabetic code 250.5. Other ophthalmic manifestations include the following: • blindness (369.00 to 369.9); • cataract (366.41); • glaucoma (365.44); • iritis/iridis rubeosis (364.42); • macular edema (362.07; also assign a code for the diabetic retinopathy, 362.01 to 362.06); • orbital osteomyelitis (376.03); • retinal edema (362.07; also assign a code for the diabetic retinopathy); • retinopathy (362.01 to 362.07); and • rubeosis iridis (364.42). Code 250.5 requires a fifth-digit subclassification to identify the type of diabetes and the control status as follows: • 0: type 2 or unspecified type, not stated as uncontrolled; • 1: type 1 (j Continue reading >>

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