Show Background diabetic retinopathy imaged with fundus autofluorescence after laser surgery ICD-10 Diagnosis Codes: E11.319–Mild nonproliferative diabetic retinopathy, without macular edema
DEFINITIONDiabetes Diabetes mellitus is a complex, multifactorial and heterogeneous group of disorders characterized by endogenous insulin deficiency and/or insulin resistance. The disease manifests itself as a state of chronic hyperglycemia with attendant microvascular and macrovascular complications.
This is the most common and most serious ophthalmic manifestation of diabetes mellitus. It is a microangiopathy affecting the retinal blood vessels, and has features of both microvascular occlusion and leakage.
NATURAL HISTORYStructural Damage to the Eye
DIAGNOSTIC EVALUATIONThe main goal of the diagnostic evaluation in a patient with diabetic retinopathy is to accomplish the following:
The severity of the symptoms or signs is varied and depends on the level of control the patient has over their diabetes. Patients can present with the following abnormal symptoms:
The retinal changes associated with diabetic retinopathy include the following:
DIAGNOSTIC TESTS Fundus Photography
Visual Field Examination
CLASSIFICATIONDiabetic retinopathy is classified into two types: 1. Non-proliferative diabetic retinopathy
DIFFERENTIAL DIAGNOSESThis would include any eye diseases that produce changes in the retinal vasculature such as hemorrhages, microaneurysms, edema, and exudates.
TREATMENT OPTIONSPalliative Treatment
Intraocular Surgery Vitrectomy — This procedure can is used to remove blood from the vitreous and scar tissue tugging on the retina. What is proliferative diabetic retinopathy without macular edema?Proliferative Retinopathy is the most severe stage of Diabetic Retinopathy and carries a significant risk of vision loss. The Retina responds to a lack of oxygen, or “Retinal Ischemia”, by attempting to compensate for the reduced circulation.
What is proliferative diabetic retinopathy with macular edema?This condition is called macular ischemia and it also results in blurry vision. Diabetic Macular Edema. Proliferative diabetic retinopathy is a more advanced condition where abnormal new blood vessels begin to grow within the retina to supply blood to areas where the original blood vessels have become closed.
What is proliferative vs nonproliferative diabetic retinopathy?Diabetic retinopathy falls into two main classes: nonproliferative and proliferative. The word "proliferative" refers to whether or not there is neovascularization (abnormal blood vessel growth) in the retinaEarly disease without neovascularization is called nonproliferative diabetic retinopathy (NPDR).
How do you code diabetic retinopathy?For example:. E10. 3211: Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema right eye.. E10. 3292: Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye.. |