Question: How should I code for a patient with nonproliferative diabetic retinopathy?
-- Arkansas Subscriber
Answer: The diagnosis code you report depends on the retinopathy's severity. ICD-9 has several codes to describe the condition.
Do this: Check the medical record to see if you can find any more information on the type of retinopathy.
Then, choose one of the following diagnosis codes:
• 362.03 -- Nonproliferative diabetic retinopathyNOS
• 362.04 -- Mild nonproliferative diabetic retinopathy
• 362.05 -- Moderate nonproliferative diabetic retinopathy
• 362.06 -- Severe nonproliferative diabetic retinopathy.
If there is no further information regarding the nature of the nonproliferative diabetic retinopathy, then your coding will be:
• 250.50 -- Diabetes with ophthalmic manifestations, Type II or unspecified type, not stated as uncontrolled
• 362.03.